Senior Manager, Actuarial Services – Medicare

Posted Sep 24

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

πŸ“‹ Description

β€’ Perform strategic analysis and peer evaluations.

β€’ Develop and maintain tools for planning processes, pricing strategies, and risk assessments.

β€’ Offer technical expertise and support for financially sustainable business operations.

β€’ Participate in strategic initiatives and planning related to Medicare.

β€’ Manage tools and processes that support internal stakeholders.

β€’ Review and certify Medicare Advantage bids if qualified for American Academy of Actuaries membership.

β€’ Instruct and mentor direct reports in technical skills and knowledge of the Medicare program.

β€’ Compute financial outcomes utilizing mathematics, probability, statistics, finance, and business principles.

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

β€’ Supervise health plan performance, identify trends, and propose enhancements.

β€’ Investigate new business prospects and legislative modifications.

β€’ Present findings related to pricing, risk, and opportunities to internal business partners.

β€’ Formulate actionable recommendations for management consideration.

β€’ Lead cross-departmental teams in addressing organizational challenges.

β€’ Suggest changes to policies and procedures and undertake other assigned responsibilities.

β€’ Supervise 2–4 direct reports.


⛳️ Requirements

β€’ Minimum of 6 years of actuarial experience.

β€’ Fellow or Associate designation from the Society of Actuaries is mandatory.

β€’ A Bachelor's Degree or equivalent experience is required.

β€’ Membership in MAAA is highly preferred.

β€’ Actuarial experience in healthcare and Medicare Advantage is essential.

β€’ Proficiency in cost trend analysis, bid development, and actuarial tool creation.

β€’ Advanced skills in Excel, including arrays, PivotTables, VBA, and queries.

β€’ Familiarity with SQL.

β€’ Experience with SAS.

β€’ Capability to utilize AI tools for actuarial analysis and decision-making.

β€’ Preferred, but not mandatory, ability to work in ET/CT time zones.

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


🏝️ Benefits

β€’ Health insurance.

β€’ 401K.

β€’ Stock purchase plans.

β€’ Tuition reimbursement.

β€’ Paid time off plus holidays.

β€’ Flexible work arrangements, including remote, hybrid, field, or office schedules.

β€’ Competitive salary.

β€’ Additional incentives may be part of the total compensation package.

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