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Role Summary

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HIGHLIGHTS

Director-level health actuary based in Tulsa, OK focused on Medicare Advantage and ACA pricing, risk adjustment, and large-group pricing. You will lead an actuarial team, develop an internal actuarial function, coordinate filings and RADV work, and support reserving and trend analysis across the health plan.

JOB DESCRIPTION SUMMARY

  • Lead actuarial function for Medicare Advantage and ACA risk adjustment
  • Oversee pricing, bids, and large-group pricing model maintenance
  • Coordinate rate filings and RADV reporting with external actuaries
  • Provide oversight of IBNR, PDR and actuarial accrual development
  • Based in Tulsa, OK — Director-level role requiring 8+ years in health

DOMAIN EXPERTISE

  • Medicare Advantage pricing and bid process
  • Medicare Advantage and ACA Risk Adjustment and RADV analysis
  • Large Group pricing model development and maintenance
  • IBNR and PDR actuarial accrual development
  • Provider contract, network design and area factor analysis

KEY REQUIREMENTS

  • ASA required; FSA preferred
  • 8+ years actuarial experience in health insurance
  • Hands-on Medicare Advantage pricing and bid process experience
  • Experience with Medicare Advantage and ACA Risk Adjustment and RADV
  • Proficient in Excel, Access and SAS and/or SQL-based tools

TECH STACK

  • Excel
  • Access
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Director-level health actuary based in Tulsa, OK focused on Medicare Advantage and ACA pricing, risk adjustment, and large-group pricing. You will lead an actuarial team, develop an internal actuarial function, coordinate filings and RADV work, and support reserving and trend analysis across the health plan.

JOB DESCRIPTION SUMMARY

  • Lead actuarial function for Medicare Advantage and ACA risk adjustment
  • Oversee pricing, bids, and large-group pricing model maintenance
  • Coordinate rate filings and RADV reporting with external actuaries
  • Provide oversight of IBNR, PDR and actuarial accrual development
  • Based in Tulsa, OK — Director-level role requiring 8+ years in health

DOMAIN EXPERTISE

  • Medicare Advantage pricing and bid process
  • Medicare Advantage and ACA Risk Adjustment and RADV analysis
  • Large Group pricing model development and maintenance
  • IBNR and PDR actuarial accrual development
  • Provider contract, network design and area factor analysis

KEY REQUIREMENTS

  • ASA required; FSA preferred
  • 8+ years actuarial experience in health insurance
  • Hands-on Medicare Advantage pricing and bid process experience
  • Experience with Medicare Advantage and ACA Risk Adjustment and RADV
  • Proficient in Excel, Access and SAS and/or SQL-based tools

TECH STACK

  • Excel
  • Access
  • PowerPoint

Job Overview

Salary
Salary not specified
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA, 8+ years) with deep Medicare Advantage and ACA experience who can lead a team, run bids and RADV analyses, and communicate findings to non-technical stakeholders.

ASA

Benefits

Shortlist Forming
Closing Soon
57d
57 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA, 8+ years) with deep Medicare Advantage and ACA experience who can lead a team, run bids and RADV analyses, and communicate findings to non-technical stakeholders.

ASA

Benefits

Shortlist Forming
Closing Soon
57d
57 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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