Director, Actuarial
Core
Lead actuarial pricing, financial performance insights, and strategic analytics for Medicare and Medicaid government programs to ensure compliant, competitive, and sustainable products.
Role type
Director, Actuarial (Government Programs)
Builds
Medicare Advantage and Medicaid rate filings, pricing models, and financial projections for government health programs.
Domain
US Healthcare / Government Insurance (Medicare/Medicaid)
Deliverable
production ML models | dashboards & analysis | client delivery
Required skills
Actuarial pricing, financial forecasting, regulatory compliance, team leadership, strategic planning, benefit design, rate filing, variance analysis
Preferred skills
FSA designation, advanced analytics, automation
Technologies
Actuarial software, financial modeling tools
Responsibilities
Lead end-to-end pricing for Medicare Advantage and Medicaid; develop and maintain actuarial assumptions and pricing models; ensure compliance with CMS and state regulations; partner with Product and Clinical teams on benefit design and cost management; lead and develop a team of actuaries; present strategic insights to senior leadership.
Seniority
Director, strategic leadership & team management