Senior Manager, Actuarial
Core
Lead actuarial evaluation of state capitation pricing and forecasting for Medicaid managed care programs, serving as a key partner to market leadership and finance.
Role type
Senior Manager, Actuarial (Medicaid Managed Care)
Builds
Medicaid managed care pricing models, financial performance dashboards, and strategic business plans.
Domain
Health Insurance / Medicaid Managed Care
Required skills
Actuarial modeling, forecasting, SQL, Microsoft Excel, financial performance analysis, root-cause analysis, project management, team mentorship, regulatory knowledge (rate-setting, risk adjustment)
Preferred skills
Actuarial pricing/reserving, healthcare data warehousing, Power BI, strategic thinking, data visualization
Technologies
SQL, Microsoft Excel, Power BI
Responsibilities
Lead actuarial evaluation of state capitation pricing and forecasting; Evaluate and interpret complex state rate-setting methodologies and regulatory requirements; Analyze drivers of medical cost trends and financial performance; Review and challenge complex analytical methodologies and models; Provide indirect leadership and mentorship for actuarial team members; Design and build new analyses to answer evolving business questions.
Seniority
Senior Manager, hands-on IC with team leadership