Role Description
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.
In this Senior Manager, Actuarial Services role, you will:
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Contribute to and support Medicare strategic initiatives and planning
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Own tools and/or processes, supporting related internal usersβ needs
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If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)
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Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries
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Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes
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Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies
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Oversee health plan experience, identify trends, and recommend improvements
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Research and identify new business opportunities
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Research and analyze the impact from legislative changes
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Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)
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Develop actionable recommendations to management relative to analysis
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Lead cross-functional teams to address key issues facing the organization
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Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards
Qualifications
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Bachelor's Degree or equivalent experience required
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6+ years of actuarial experience required
Requirements
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6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred)
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Strong technical skills, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS
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Ability to effectively leverage AI tools to enhance actuarial analysis and decision-making
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Leads 2-4 direct reports
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Fully remote within the Continental United States (ET/CT preferred, not required)
Benefits
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Competitive pay
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Health insurance
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401K and stock purchase plans
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Tuition reimbursement
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Paid time off plus holidays
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Flexible approach to work with remote, hybrid, field or office work schedules