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Kalos Consulting, Inc.Posted 1 week ago

Actuarial Manager Value-Based Contracts

RemoteUnited States

ContractSenior LevelMasters Degree

Job Summary

Determine performance measures, benchmarks, and contractual components for new value-based contracts while assuring reliability of statistical methodologies. Supervise actuarial analysts and collaborate with Enterprise Risk Management to build risk assessments for underwriting and reserving, monitor risk profiles, and present analytics to senior financial leadership. Apply expertise in commercial pricing, Medicare pricing, reserving, and medical economics to track key drivers. Requires 6+ years of progressive actuarial experience in health insurance or managed care, ASA or FSA certification, and a bachelor's degree in mathematics or actuarial science. Work remotely from a home office within the United States.

Required Qualifications

  • Expertise in actuarial value-based contracting
  • Expertise in commercial pricing
  • Expertise in Medicare pricing
  • Expertise in reserving
  • Expertise in medical economics
  • Expertise in Medicare or Medicaid risk adjustment
  • 6+ years of progressive Actuarial experience in health insurance, managed care, or related consulting business
  • Familiarity with commercial and government health programs
  • ASA or FSA required
  • Bachelors' degree in Mathematics, Actuarial Science, or related field

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