Actuarial Manager, Valuation & Performance

Cityblock Health

22h•Remote

About The Position

The Manager, Valuation and Performance plays a highly critical, cross-functional role within our Finance team, ensuring the financial integrity, accuracy, and operational efficiency of our payer partnerships. The role will also partner with the the Executive Leadership Team (ELT), Accounting, Tech Org, Growth, Clinical Innovation, BOI Operations, and Markets. In this role, you will own the end-to-end valuation of our risk-bearing contracts, focusing heavily on financial closes, IBNR accuracy, and complex payer reconciliations. You will serve as the primary bridge between our internal financial operations and our external payer partners, using advanced analytics and emerging AI capabilities to track performance, remediate contracts, and communicate vital financial trends to executive leadership.

Requirements

5+ years of experience in actuarial science, healthcare economics, or healthcare valuation, specifically within value-based care, Medicare Advantage, or Medicaid environments.
Bachelor’s degree in Actuarial Science, Mathematics, Finance, Economics, or a related quantitative field.
Advanced proficiency in SQL, Excel, and BI/dashboarding tools (e.g., Tableau, PowerBI, Looker).
Exceptional ability to translate complex actuarial and financial concepts into clear, actionable insights for non-technical stakeholders and ELT.
Proven track record of managing external payer relationships, specifically interacting with partner actuaries and finance leaders during risk settlement and reconciliation processes.

Nice To Haves

ASA or FSA designation is highly preferred.
Experience integrating AI or machine learning tools into financial/actuarial workflows is a strong plus.

Responsibilities

Drive the Valuation team’s contributions to Monthly, Quarterly, and Year-End audited financial close processes, ensuring accuracy and strict adherence to timelines.
Apply best-practice actuarial IBNR (Incurred But Not Reported) methodologies to establish internal best estimates for incurred claims, actively working to improve accuracy and significantly reduce volatility.
Take ownership of complex clinical exclusion reconciliations and risk-share settlement reconciliations with our payer partners.
Manage external relationships with payer Actuaries and Finance Teams to align on performance metrics, resolve discrepancies, and finalize risk-share settlement issues.
Perform internal deep-dive financial and actuarial analyses on existing partners to support and advance contract remediation outcomes with payers.
Develop, implement, and maintain comprehensive dashboard and reporting solutions to highlight financial performance trends and insights for the broader Finance team and Executive Leadership Team (ELT).
Champion the use of AI capabilities and advanced automation to improve large-scale data processes, enhance actuarial trend reporting, and elevate the continuous performance monitoring of the business.