Accounting/Finance - Director Actuary 125-7000
OnsiteMedicare AdvantageACA ExchangeCommercial Employer HealthPricing & RatingExperience StudiesReserving & Valuation
Role Summary
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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
