Manager-Business Insights Actuary

Presbyterian Healthcare Services

1d • Onsite

About The Position

The Manager-Business Insights Actuary serves as the primary analytics partner to business leaders across Medicaid, ACA, Medicare Advantage, and ASO lines of business. This role is responsible for translating complex data into clear, actionable insights that drive financial performance, inform strategic decisions, and improve total cost of care. This role sits within Medical Economics and is accountable for ensuring stakeholders receive decision-ready reporting with a direct linkage to financial outcomes and organizational priorities. Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, Presbyterian exists to improve the health of patients, members, and the communities they serve.

Requirements

• Bachelor’s degree in a quantitative or business-related field (e.g., Economics, Finance, Actuarial Science, Statistics, Public Health) or equivalent experience
• 5+ years of experience in healthcare strategy, medical economics, finance, or analytics
• Experience supporting Medicare Advantage, Medicaid, ACA, or other health plan lines of business
• Experience developing executive-level presentations and facilitating stakeholder discussions
• Strong analytical skills with the ability to translate data into actionable insights
• Experience developing executive-level reporting and presentations
• Experience with tools such as SQL, Tableau, Excel modeling, or similar analytics platforms

Responsibilities

• Serve as the primary Medical Economics partner to assigned lines of business, including Medicare Advantage, Medicaid, ACA, and ASO
• Engage regularly with business leaders to understand priorities, pressures, and decision needs
• Translate business questions into structured analytical approaches and actionable outputs
• Ensure insights are clearly tied to financial impact, performance targets, and strategic objectives
• Develop and deliver high-impact, executive-ready reporting focused on performance, trends, and opportunities, providing clear “so what” and “now what” recommendations
• Identify emerging risks and opportunities across cost, utilization, and revenue drivers
• Create narratives that connect data to decisions, enabling leaders to take timely action
• Partner with finance and actuarial teams to ensure alignment between reported insights and financial outcomes (e.g., GL, forecasts, MLR)
• Support evaluation of performance improvement initiatives and business strategies
• Ensure consistency and accuracy in how performance is measured and communicated
• Partner with internal teams to enhance dashboards, reporting tools, and user experience
• Standardize and streamline recurring reporting while elevating analytical depth
• Ensure reporting evolves with business needs and supports decision-making at all levels
• Work closely with Medical Economics leaders across Cost Strategy, Cost Optimization, and Data Infrastructure to ensure alignment
• Partner with analytics, actuarial, finance, clinical, and network teams to deliver integrated insights
• Act as a connector across teams to ensure insights are comprehensive, aligned, and actionable

Benefits

• medical
• dental
• vision
• short-term and long-term disability
• group term life insurance
• other optional voluntary benefits
• Employee Wellness rewards program (earn gift cards and more by participating in wellness activities like wellness challenges, webinar, preventive screening)

What This Job Offers

• Job Type: Full-time
• Career Level: Manager