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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role focused on Medicare (MSSP ACO and Medicare Advantage) engagements in the US. You will lead actuarial financial analyses, build PMPM and medical cost projection models, advise on CMS/MSSP rules, and present results to health plan and provider leadership. Senior candidate with strong Medicare and rate-development experience.

JOB DESCRIPTION SUMMARY

  • Lead actuarial analyses for MSSP ACOs and Medicare Advantage clients
  • Build and maintain PMPM medical cost and utilization trend models
  • Use SAS/SQL/R/Python and CCW VRDC Medicare claims for analysis
  • Senior IC/Manager role mentoring analysts and leading client engagements
  • Support business development, proposals, and actuarial product development

DOMAIN EXPERTISE

  • Medicare and MSSP ACO financial analysis
  • Rate development and rate review for Medicare programs
  • Benchmark development and savings calculation methodology
  • PMPM medical cost projection and utilization trend analysis
  • Experience accessing CMS CCW VRDC Medicare claims data

KEY REQUIREMENTS

  • 6+ years of healthcare actuarial experience
  • Significant Medicare-focused experience, including MSSP knowledge
  • Experience with Medicare rate development or rate review processes
  • Proficiency with SAS, SQL, R, or Python for modelling and analysis
  • Experience in consulting, health plan, or managed care actuarial roles

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Manager-level health actuarial role focused on Medicare (MSSP ACO and Medicare Advantage) engagements in the US. You will lead actuarial financial analyses, build PMPM and medical cost projection models, advise on CMS/MSSP rules, and present results to health plan and provider leadership. Senior candidate with strong Medicare and rate-development experience.

JOB DESCRIPTION SUMMARY

  • Lead actuarial analyses for MSSP ACOs and Medicare Advantage clients
  • Build and maintain PMPM medical cost and utilization trend models
  • Use SAS/SQL/R/Python and CCW VRDC Medicare claims for analysis
  • Senior IC/Manager role mentoring analysts and leading client engagements
  • Support business development, proposals, and actuarial product development

DOMAIN EXPERTISE

  • Medicare and MSSP ACO financial analysis
  • Rate development and rate review for Medicare programs
  • Benchmark development and savings calculation methodology
  • PMPM medical cost projection and utilization trend analysis
  • Experience accessing CMS CCW VRDC Medicare claims data

KEY REQUIREMENTS

  • 6+ years of healthcare actuarial experience
  • Significant Medicare-focused experience, including MSSP knowledge
  • Experience with Medicare rate development or rate review processes
  • Proficiency with SAS, SQL, R, or Python for modelling and analysis
  • Experience in consulting, health plan, or managed care actuarial roles

TECH STACK

  • No tech stack specified

Job Overview

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

Ideal Candidate Profile

Manager-level health actuary with 6+ years of Medicare and MSSP experience, ideally an ASA or near-ASA, experienced in Medicare Advantage rate development and CMS rules, and skilled in SAS/SQL/R/Python and client-facing presentations.

Benefits

Generous VacationPaid Parental LeaveAnnual BonusHealth InsuranceDental InsuranceVision InsuranceShort/Long Term DisabilityLife Insurance
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

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

Ideal Candidate Profile

Manager-level health actuary with 6+ years of Medicare and MSSP experience, ideally an ASA or near-ASA, experienced in Medicare Advantage rate development and CMS rules, and skilled in SAS/SQL/R/Python and client-facing presentations.

Benefits

Generous VacationPaid Parental LeaveAnnual BonusHealth InsuranceDental InsuranceVision InsuranceShort/Long Term DisabilityLife Insurance
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Health/Insurtech/Manager Level
Innovaccer

Actuarial Manager (Medicare)

Innovaccer•United States•1d ago
Medicare AdvantageMedicaidACA ExchangePricing & RatingPredictive Modelling & MLBusiness Intelligence & Reporting

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