Sr. Mgr., Actuarial Services - Medicare

## Sr. Mgr., Actuarial Services - Medicare Apply:
Remote-MN:
Remote-TN:
Remote-NE:
Remote-KS:
Remote-AZ:
Full time:
Posted Today:
1658008
** Position

Purpose:

** Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.
** Key Details:
** Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, Pivot Tables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making.

This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).
** In this Senior Manager, Actuarial Services role, you will:
*** Contribute to and support Medicare strategic initiatives and planning
* Own tools and/or processes, supporting related internal users’ needs
* If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)
* Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries
* Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes
* Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies
* Oversee health plan experience, identify trends, and recommend improvements
* Research and identify new business opportunities
* Research and analyze the impact from legislative changes
* Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)
* Develop actionable recommendations to management relative to analysis
* Lead cross-functional teams to address key issues facing the organization
* Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards
** Education/

Experience:

** Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.
*
* Licenses/Certifications:

** Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.

Pay Range: $ - $ per year