Senior Actuary, MSSP Valuation & Financial Insight

Alt; New York, Boston (NY, MA); Hybrid; USD 95,000 - 180,000; Full time

Job summary

Pearl Health is seeking an Actuary to lead MSSP valuation and reserving for our ACO book, owning the model build, closes, and financial reporting. You will translate complex actuarial results into actionable insights for leadership and partner with cross-functional teams.

You’ll drive forecasting, CMS reconciliation, and data interpretation with Engineering, Data Science, Operations, and Customer Success, shaping value-based care outcomes.

Qualifications

• 6+ years of actuarial experience with MSSP offerings.
• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related quantitative field.
• Advanced spreadsheet modeling skills (e.g., Excel/Sheets).
• Strong data analysis skills using SQL.

Responsibilities

• Rebuild, update and own MSSP valuation model and monthly/quarterly closes.
• Set IBNR reserves and deliver monthly results for financial reporting.
• Reconcile prior year results against CMS settlements and forecast for new years.
• Define MSSP data interpretation and work with Engineering to implement it.
• Partner cross-functionally with Operations, Customer Success, Engineering and Data Science teams.

Skills

Actuarial exp

Bachelor degree

Excel/Sheets

SQL

Python

Communication

ACO experience

ASA/FSA

Education

Bachelor’s degree in Actuarial Science/Math/Statistics

Tools

Excel

Google Sheets

SQL

Python

Job description

Pearl Health is seeking an Actuary to lead MSSP valuation and reserving for our ACO book, owning the model build, closes, and financial reporting. You will translate complex actuarial results into actionable insights for leadership and partner with cross-functional teams.

You’ll drive forecasting, CMS reconciliation, and data interpretation with Engineering, Data Science, Operations, and Customer Success, shaping value-based care outcomes.