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Role Summary

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HIGHLIGHTS

This ASA-certified actuary role at Highmark focuses on forecasting Medicare Advantage Star Ratings. You will develop advanced actuarial models, analyze HEDIS and CMS data, support clinical quality initiatives, and lead studies for decision makers. The position is office-based in the US (location unspecified).

JOB DESCRIPTION SUMMARY

  • Forecast Medicare Advantage Star Ratings using actuarial models and analytics
  • Analyze claims, HEDIS, and CMS data to support quality improvement
  • Lead development of studies and presentations for cross-functional teams
  • Mentor less experienced actuarial staff
  • ASA required; FSA preferred

DOMAIN EXPERTISE

  • No domain expertise specified

KEY REQUIREMENTS

  • Bachelor's in Actuarial Science, Math, Statistics or related field
  • 5 years actuarial experience in area of specialization
  • ASA certification required
  • Strong analytical, problem-solving, and communication skills

TECH STACK

  • No tech stack specified
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Role Summary

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HIGHLIGHTS

This ASA-certified actuary role at Highmark focuses on forecasting Medicare Advantage Star Ratings. You will develop advanced actuarial models, analyze HEDIS and CMS data, support clinical quality initiatives, and lead studies for decision makers. The position is office-based in the US (location unspecified).

JOB DESCRIPTION SUMMARY

  • Forecast Medicare Advantage Star Ratings using actuarial models and analytics
  • Analyze claims, HEDIS, and CMS data to support quality improvement
  • Lead development of studies and presentations for cross-functional teams
  • Mentor less experienced actuarial staff
  • ASA required; FSA preferred

DOMAIN EXPERTISE

  • No domain expertise specified

KEY REQUIREMENTS

  • Bachelor's in Actuarial Science, Math, Statistics or related field
  • 5 years actuarial experience in area of specialization
  • ASA certification required
  • Strong analytical, problem-solving, and communication skills

TECH STACK

  • No tech stack specified

Job Overview

Salary
$103k - $165k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA-certified actuary with 5+ years in health actuarial work, specialized in Medicare Advantage Stars methodology, who thrives on leading analytics and mentoring juniors.

ASA
Fresh Role
Premium Window
0d
Posted Today

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
$103k - $165k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA-certified actuary with 5+ years in health actuarial work, specialized in Medicare Advantage Stars methodology, who thrives on leading analytics and mentoring juniors.

ASA
Fresh Role
Premium Window
0d
Posted Today

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."

Actuary - Medicare Stars and Quality

Highmark

Health/Insurer/IC Level
Highmark

Actuary - Medicare Stars and Quality

Highmark

United States · Onsite · Today

Medicare Advantage

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