Actuary Manager
FlexibleMedicare AdvantageReserving & ValuationBusiness Intelligence & ReportingRegulatory Reporting
Role Summary
Loading...HIGHLIGHTS
Senior Health actuarial manager owning Medicare Advantage risk adjustment for a $1B+ MA book. You will validate data, accrue risk scores, build a scalable HCC-based risk adjustment process, and translate results into financial accruals and forecasts. Remote-first with optional hybrid work from Alhambra, CA (role reports to Senior Manager, Actuary).
JOB DESCRIPTION SUMMARY
- Own end-to-end Medicare Advantage risk score accruals for a $1B+ MA book
- Build and validate HCC engine outputs and translate into financial accruals
- Support actuarial forecasting and integrate assumptions into FP&A
- Individual contributor role reporting to Senior Manager, Actuary
- Remote option with hybrid office availability in Alhambra, Las Vegas, or Houston
DOMAIN EXPERTISE
- Medicare Advantage risk adjustment
- MA HCC model financial application
- Actuarial forecasting and financial modeling
KEY REQUIREMENTS
- FSA or ASA credentials or near attainment of ASA
- 5+ years of actuarial experience
- 2+ years of Medicare Advantage experience, including hands-on risk adjustment
- Deep understanding of the MA HCC risk adjustment model
- Advanced Excel and working knowledge of SQL
TECH STACK
- Excel
- Power_BI
