Senior Manager, Actuarial Services – Medicare

This is a fully remote position, open to applicants in Arizona, +43 more states.

📋 Description

• Perform strategic analysis and peer evaluations.

• Develop and maintain tools for planning processes, pricing strategies, and risk assessments.

• Offer technical expertise and support for financially sustainable business operations.

• Participate in strategic initiatives and planning related to Medicare.

• Manage tools and processes that support internal stakeholders.

• Review and certify Medicare Advantage bids if qualified for American Academy of Actuaries membership.

• Instruct and mentor direct reports in technical skills and knowledge of the Medicare program.

• Compute financial outcomes utilizing mathematics, probability, statistics, finance, and business principles.

• Negotiate, evaluate, and/or develop capitation or premium rates with state, federal, and private entities.

• Supervise health plan performance, identify trends, and propose enhancements.

• Investigate new business prospects and legislative modifications.

• Present findings related to pricing, risk, and opportunities to internal business partners.

• Formulate actionable recommendations for management consideration.

• Lead cross-departmental teams in addressing organizational challenges.

• Suggest changes to policies and procedures and undertake other assigned responsibilities.

• Supervise 2–4 direct reports.

⛳️ Requirements

• Minimum of 6 years of actuarial experience.

• Fellow or Associate designation from the Society of Actuaries is mandatory.

• A Bachelor's Degree or equivalent experience is required.

• Membership in MAAA is highly preferred.

• Actuarial experience in healthcare and Medicare Advantage is essential.

• Proficiency in cost trend analysis, bid development, and actuarial tool creation.

• Advanced skills in Excel, including arrays, PivotTables, VBA, and queries.

• Familiarity with SQL.

• Experience with SAS.

• Capability to utilize AI tools for actuarial analysis and decision-making.

• Preferred, but not mandatory, ability to work in ET/CT time zones.

• If qualified for American Academy of Actuaries membership, the ability to review and certify Medicare Advantage bids.

🏝️ Benefits

• Health insurance.

• 401K.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Competitive salary.

• Additional incentives may be part of the total compensation package.