Senior Staff Actuaries - Medicare & Large Group - Remote

Remote, USA Full-time
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 and/or 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. Qualifications - External Qualifications • Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required • Associate of the Society of Actuaries (A.S.A.) required • Member of the American Academy of Actuaries (M.A.A.A.) required • Fellow of the Society of Actuaries (F.S.A.) preferred • 10+ years of relevant, professional work experience and/or education required • 6+ years of actuarial experience with ASA; or 5+ years’ experience with an FSA required • 5+ years health insurance actuarial experience, preferably in the managed care industry required • 1+ year of management experience required • Comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required • Knowledge of reimbursement methodologies required • Ability to develop actionable reports for senior management required • Excellent written and oral communication skills to deliver complex information required • Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook); data extraction, simulations, automation required Apply tot his job
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