Manager, Actuarial - Employer Group Waiver Plan
Core
Actuarial professional supporting Self-Funded Employer Group Waiver Plan clients by developing pricing strategies, forecasting plan performance, and evaluating financial risk.
Role type
Manager, Actuarial (Employer Group Waiver Plan)
Builds
Pricing strategies, financial projections, and experience studies for Medicare Part D and EGWP clients.
Domain
Health insurance / Pharmacy benefits / Medicare Part D
Required skills
Actuarial standards of practice (ASOPs), financial modeling, experience analysis, assumption setting, profitability studies, predictive analytics, strategic recommendations
Preferred skills
Coding, pharmacy benefits knowledge, formulary management
Technologies
Actuarial software, predictive analytics tools
Responsibilities
Develop pricing strategies and money-saving options; conduct experience studies and Book of Business analyses; partner with Sales, Underwriting, and Clinical teams on new business and renewals; educate business partners on Medicare Part D reform impacts; mentor less experienced team members
Seniority
Manager, hands-on IC with mentorship