Sr. Mgr., Actuarial Services - Medicare
Core
Conduct strategic analysis, peer review, and build tools to aid in Medicare planning, pricing, and risk assessment for financial outcomes.
Role type
Senior Manager, Actuarial Services (Medicare)
Builds
Actuarial tools and processes for Medicare bid development and pricing
Domain
Healthcare / Medicare Advantage / Actuarial Science
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Medicare Advantage actuarial experience, cost trend analysis, bid development, actuarial tool development, advanced Excel (arrays, PivotTables, VBA, queries), SQL, SAS, financial modeling, probability and statistics
Preferred skills
American Academy of Actuaries membership, AI tool integration
Technologies
Excel, SQL, SAS
Responsibilities
Contribute to Medicare strategic initiatives and planning; Own tools and/or processes supporting internal users; Review and certify MA bids; Train and develop direct reports on technical skills and Medicare program; Calculate financial outcomes using mathematics and finance principles; Develop, assess, and negotiate capitation or premium rates with agencies; Oversee health plan experience and identify trends; Research new business opportunities and legislative impacts; Present pricing and risk results to internal partners; Lead cross-functional teams to address organizational issues.
Seniority
Senior Manager, 2-4 direct reports