Manager, Actuarial Services
$134,600–$249,000 year
Remote
Job Summary
Conduct analysis, pricing, and risk assessment to estimate financial outcomes for health plan businesses. Collaborate with internal matrix partners to ensure Value-Based Care strategies are analytically sound and aligned with enterprise goals. Lead a small team while developing sophisticated financial models to assess risk associated with vendor arrangements and contract designs. Work with Medicare, marketplace, and Medicaid teams to assess the impact of program and policy changes on trends and vendor contracts. Provide robust analytical support and subject matter expertise during negotiations with external vendors, defending analytical methodologies and articulating the company's financial positions.
Required Qualifications
- ASA or FSA designation
- Bachelor's degree or higher
- At least 5 years of actuarial experience
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Fellow or Associate of the Society of Actuaries (or equivalent international certification)
- Previous management experience
- Experience with Vendors and vendor arrangements
- Experience with Excel, SQL, Teradata, Snowflake and/or SAS
- Experience working with claims and revenue data and analyzing trend
Desired Qualifications
- Member of American Academy of Actuaries
- 5+ years of actuarial, mathematical, statistical, scientific, financial analysis, reporting, data analytics, accounting, and/or underwriting experience
- Experience with Vendors and vendor arrangements
- Experience with Excel, SQL, Teradata, Snowflake and/or SAS
- Experience working with claims and revenue data and analyzing trend
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