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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 reserving. You will lead a team, coordinate with external actuaries and cross-functional partners, and build an internal actuarial function to support large group pricing, RADV, and accrual development.

JOB DESCRIPTION SUMMARY

Lead Medicare Advantage and ACA pricing, risk adjustment, and RADV work
Develop internal actuarial function and lead a small actuarial team
Support Large Group pricing models and custom pricing requests
Provide oversight of IBNR, PDR, and other actuarial accruals
Work on pricing/bid process and coordinate rate filings with external actuaries

DOMAIN EXPERTISE

Medicare Advantage pricing and bid process
Medicare Advantage and ACA Risk Adjustment and RADV analysis
Large Group pricing model development
IBNR and PDR actuarial accrual development

KEY REQUIREMENTS

ASA designation required; FSA preferred
8+ years of 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 and Access; experience with SAS and SQL-based tools

TECH STACK

Excel
Access

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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 reserving. You will lead a team, coordinate with external actuaries and cross-functional partners, and build an internal actuarial function to support large group pricing, RADV, and accrual development.

JOB DESCRIPTION SUMMARY

Lead Medicare Advantage and ACA pricing, risk adjustment, and RADV work
Develop internal actuarial function and lead a small actuarial team
Support Large Group pricing models and custom pricing requests
Provide oversight of IBNR, PDR, and other actuarial accruals
Work on pricing/bid process and coordinate rate filings with external actuaries

DOMAIN EXPERTISE

Medicare Advantage pricing and bid process
Medicare Advantage and ACA Risk Adjustment and RADV analysis
Large Group pricing model development
IBNR and PDR actuarial accrual development

KEY REQUIREMENTS

ASA designation required; FSA preferred
8+ years of 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 and Access; experience with SAS and SQL-based tools

TECH STACK

Excel
Access

Job Overview

Salary

Salary not specified

Qualification

ASA

Years of Experience

8+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

A Director-level health actuary (ASA) with 8+ years in Medicare Advantage and ACA work, strong SAS/SQL and Excel skills, and experience leading pricing, RADV, and reserving teams.

ASA

Benefits

Shortlist Forming

Closing Soon

92d

92 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

Qualification

ASA

Years of Experience

8+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

A Director-level health actuary (ASA) with 8+ years in Medicare Advantage and ACA work, strong SAS/SQL and Excel skills, and experience leading pricing, RADV, and reserving teams.

ASA

Benefits

Shortlist Forming

Closing Soon

92d

92 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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