Sr. Mgr., Actuarial Services - Medicare

About the role

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.

Responsibilities

• 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

Requirements

• Bachelor's Degree or equivalent experience required
• 6+ years of actuarial experience required

Qualifications

• Fellow or Associate of the Society of Actuaries (ASA/FSA) required
• Member of the American Academy of Actuaries (MAAA) highly preferred

Skills

• Strategic, innovative thinking with healthcare and Medicare Advantage actuarial experience
• Cost trend analysis, bid development, actuarial tool development
• Advanced Excel (arrays, PivotTables, VBA, queries)
• SQL, SAS
• Ability to leverage AI tools to enhance actuarial analysis and decision‑making
• Leadership of 2‑4 direct reports

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work approach (remote, hybrid, field or office)

Pay

$134,600.00 - $249,000.00 per year

Schedule

Fully remote within the Continental United States (ET/CT preferred, not required)