Senior Manager, Actuarial - Risk Adjustment
Core
Lead actuarial risk adjustment work to understand financial implications of the ACA's risk adjustment program, supporting monthly financial close, forecasting, and analysis.
Role type
Senior Manager, Actuarial
Builds
Risk adjustment reporting and forecast models for ACA market morbidity and risk scores
Domain
Health Insurance / Actuarial Science
Deliverable
production ML models
Required skills
ACA Risk Adjustment, quantitative analysis, financial forecasting, internal control compliance, model maintenance, data sourcing, audit deliverables
Preferred skills
ACA Pricing/MedEcon, Non-ACA Risk Adjustment, health insurance concepts
Technologies
Risk adjustment models, forecasting tools
Responsibilities
Develop risk score predictions, source new data for market-level predictions, maintain and evolve risk adjustment models, conduct research on risk adjustment capabilities, contribute to estimated risk adjustment transfer estimates, analyze drivers of risk adjustment performance, lead quarterly audit deliverables, promote actuarial best practices, onboard analysts
Seniority
Senior Manager, hands-on leadership