Role Summary

HIGHLIGHTS

Manager-level health actuarial role focused on Medicare Advantage risk adjustment and forecasting. You will own end-to-end MA risk score accruals, validate HCC outputs, and translate results into financial accruals for Finance and senior leadership. This individual contributor position is based in Alhambra, CA with flexible remote or hybrid options.

JOB DESCRIPTION SUMMARY

Own end-to-end Medicare Advantage risk score accruals for a $1B+ MA book
Validate data, interpret HCC outputs, and translate results into financial accruals
Build actuarial forecasting models and integrate assumptions with FP&A
Individual contributor Manager role; remote or hybrid from Alhambra, Las Vegas, or Houston
Requires ASA/FSA (or near attainment) and 5+ years actuarial experience

DOMAIN EXPERTISE

Medicare Advantage risk adjustment
Deep understanding of the MA HCC risk adjustment model
Experience integrating risk adjustment into financial accruals and forecasts

KEY REQUIREMENTS

FSA or ASA credentials, or near attainment of ASA credentials
5+ years of actuarial experience
2+ years of Medicare Advantage experience with hands-on risk adjustment
Deep understanding of the MA HCC risk adjustment model and financial application
Advanced Microsoft Excel and working knowledge of SQL

TECH STACK

Excel
Power_BI

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Own end-to-end Medicare Advantage risk score accruals for a $1B+ MA book
Validate data, interpret HCC outputs, and translate results into financial accruals
Build actuarial forecasting models and integrate assumptions with FP&A
Individual contributor Manager role; remote or hybrid from Alhambra, Las Vegas, or Houston
Requires ASA/FSA (or near attainment) and 5+ years actuarial experience

DOMAIN EXPERTISE

Medicare Advantage risk adjustment
Deep understanding of the MA HCC risk adjustment model
Experience integrating risk adjustment into financial accruals and forecasts

KEY REQUIREMENTS

FSA or ASA credentials, or near attainment of ASA credentials
5+ years of actuarial experience
2+ years of Medicare Advantage experience with hands-on risk adjustment
Deep understanding of the MA HCC risk adjustment model and financial application
Advanced Microsoft Excel and working knowledge of SQL

TECH STACK

Excel
Power_BI

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Own end-to-end Medicare Advantage risk score accruals for a $1B+ MA book
Validate data, interpret HCC outputs, and translate results into financial accruals
Build actuarial forecasting models and integrate assumptions with FP&A
Individual contributor Manager role; remote or hybrid from Alhambra, Las Vegas, or Houston
Requires ASA/FSA (or near attainment) and 5+ years actuarial experience

DOMAIN EXPERTISE

Medicare Advantage risk adjustment
Deep understanding of the MA HCC risk adjustment model
Experience integrating risk adjustment into financial accruals and forecasts

KEY REQUIREMENTS

FSA or ASA credentials, or near attainment of ASA credentials
5+ years of actuarial experience
2+ years of Medicare Advantage experience with hands-on risk adjustment
Deep understanding of the MA HCC risk adjustment model and financial application
Advanced Microsoft Excel and working knowledge of SQL