VP, Medicare Advantage Chief Actuary
Core
Provide executive leadership and strategic direction for actuarial and underwriting functions supporting Medicare Advantage plan operations, including pricing, product strategy, financial forecasting, and regulatory submissions.
Role type
VP, Chief Actuary (Healthcare)
Builds
Medicare Advantage Part C and Part D plans, bid strategies, and financial sustainability models
Domain
Healthcare / Medicare Advantage / Actuarial Science
Required skills
Medicare Advantage bid strategy, CMS-HCC/RxHCC risk adjustment modeling, statutory reserving (IBNR), financial forecasting, regulatory compliance (CMS/NAIC), product pricing, executive leadership, team mentorship, healthcare economics, Star Ratings strategy
Preferred skills
ASA/FSA/MAAA designations, experience with C-SNPs/D-SNPs, advanced analytics
Technologies
HPMS, CMS-HCC, RxHCC, actuarial software
Responsibilities
Lead actuarial strategy and organizational development; Drive executive financial intelligence and board-level reporting; Oversee product strategy and pricing; Manage valuation, reserving, and financial risk; Lead CMS bid strategy and submissions; Interpret regulatory developments; Oversee regulatory settlements and financial guidance; Maintain governance and audit readiness; Advance actuarial methodologies and Star Ratings strategy; Strengthen cross-functional partnerships; Develop actuarial talent and capabilities; Deliver performance analytics
Seniority
VP, Executive Leadership
