Manager-Business Insights Actuary

Location Address:

Compensation Pay Range:

Summary:

Responsibilities:

As the Manager - Business Insights Actuary, you'll play a key leadership role in transforming data into clear, actionable insights that directly influence financial performance, strategic decisions, and total cost of care across Presbyterian.

This position sits within Medical Economics and serves as a trusted advisor to leaders across Medicaid, ACA, Medicare Advantage, and ASO. Your work will shape how the organization understands performance, identifies opportunities, and makes decisions that improve care and affordability for our members.

• Serve as the primary Medical Economics partner for assigned lines of business, building strong relationships with leaders and understanding their priorities and challenges

• Translate complex business questions into structured analytical approaches and meaningful insights

• Deliver executiveready reporting that highlights performance, trends, risks, and opportunities-with clear "so what" and "now what" recommendations

• Connect insights directly to financial outcomes, including GL, forecasts, and MLR

• Identify emerging risks and opportunities across cost, utilization, and revenue drivers

• Create compelling narratives that help leaders act quickly and confidently

• Support evaluation of performance improvement initiatives and strategic programs

• Ensure consistency and accuracy in how performance is measured and communicated

• Partner with internal teams to enhance dashboards, reporting tools, and user experience

• Streamline recurring reporting while elevating analytical depth and strategic value

• Collaborate closely with leaders across Cost Strategy, Cost Optimization, and Data Infrastructure

Qualifications:

• 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

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are 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, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.