Manager, Actuarial (ADP)
Core
Lead actuarial evaluation of state capitation pricing and forecasting for Medicaid managed care programs while providing strategic business support and financial performance management.
Role type
Manager, Actuarial (Medicaid Managed Care)
Builds
Medicaid managed care pricing models, financial performance dashboards, and strategic business insights.
Domain
Health Insurance / Medicaid Managed Care
Deliverable
production ML models | dashboards & analysis
Required skills
Actuarial modeling and forecasting, SQL, Microsoft Excel, large healthcare dataset analysis, root-cause analysis, project management, stakeholder collaboration
Preferred skills
Actuarial pricing and reserving, healthcare data warehouse experience, Power BI, strategic problem solving
Technologies
SQL, Microsoft Excel, Power BI
Responsibilities
Lead actuarial evaluation of state capitation pricing and forecasting; Evaluate complex state rate-setting methodologies and regulatory requirements; Analyze drivers of medical cost trends and financial performance; Review and challenge analytical methodologies and models; Provide indirect leadership and mentorship to actuarial team members; Partner with market, product, and finance teams for strategic decision-making
Seniority
Manager, hands-on IC with team oversight