Sr. Staff Actuary (Medicare)

Summary:Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies.Lead projects to analyze current rate structures and develop improvements and alternatives.Coordinate the actuarial staff as needed to support the activities of the affiliates.Lead actuarial staff as needed to support the activities of the affiliates.Responsibilities:Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses.Work collaboratively with all areas of the organization to identify opportunities to improve product performance.Oversee the development and filing of premium rates andor expected costs with the appropriate regulatory authority (e.g., CMS, New York Department of Health). Work closely with Risk Adjustment and other areas. Advise and develop direct reports accountable for at least one line of business (e.g. ACA, Large Group, Medicare ,Medicaid, SSP), as well as other staff. Perform other duties as assigned or required.Requirements:Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related financebusiness degree requiredAssociate of the Society of Actuaries (A.S.A.) requiredMember of the American Academy of Actuaries (M.A.A.A.) requiredFellow of the Society of Actuaries (F.S.A.) preferred10+ years of relevant, professional work experience andor education required6+ years of actuarial experience with ASA; or 5+ years' experience with an FSA required5+ years health insurance actuarial experience, preferably in the managed care industry required1+ year of management experience requiredComprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills requiredKnowledge of reimbursement methodologies requiredAbility to develop actionable reports for senior management requiredExcellent written and oral communication skills to deliver complex information requiredProficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook); data extraction, simulations, automation requiredHiring Range:$86,000-$165,000

Created: 2024-10-27