Actuarial Manager, Medicare Value-Based Care
Agilon Health
Actuarial Manager, Medicare Value-Based Care
Maryland, United States · Remote · 2d ago
Medicare Advantage
- Salary
- $130k - $162k
- Experience
- 6+ Years
Role Summary
Role type
Reserving and results-cycle owner
Closer to a results-cycle role than a pricing or capital role—the recurring monthly and annual financial processes define the operating rhythm.
Senior Health actuarial manager role in Medicare Advantage and value-based care, available remotely across the U.S. You will own monthly ACO and MSSP results, support payer settlements and Medicare Advantage close work, lead ad hoc analyses, coach analysts, and help advance AI-enabled actuarial processes. The role reports to the Sr. Director of Markets Actuarial and offers a stated salary range of $129,700-$162,100.
Requirements
Must have
- 6+ years of actuarial experience
- ASA or FSA designation
- Bachelor's degree
- Legally authorized to work in the US without sponsorship
Strongly preferred
- Excellent ability to communicate and present a financial narrative
- Strong understanding of Medicare Advantage and Value-Based Care concepts
- Understanding of MA health plan data (Claims, MMR, MAO-004, etc.)
- Ability to read and interpret payer contracts and translate terms into settlement expectations
- Experience with reserving and/or forecasting
- Skilled in interpreting and manipulating large datasets, especially medical claims
- Proficiency with Excel and SQL
- Comfortable operating as a player-coach: delivering hands-on analysis while guiding others
- Advanced problem-solving skills
- Proven ability to influence, grow, and motivate others
Nice to have
- Experience with other CMS value-based arrangements (ACO REACH or MSSP)
Skills & Domain
ToolsExcel
DomainMedicare AdvantageValue-Based CareMedicare health plan data analysis
