Role Summary

HIGHLIGHTS

Senior health actuarial role supporting Medicare Advantage Special Needs Plans. You will develop and oversee actuarial models and forecasts, analyze large claims and utilization datasets, and provide strategic recommendations for contract negotiations and risk management. Director-level position based remote in the U.S. (Eden Prairie, MN reference).

JOB DESCRIPTION SUMMARY

Lead actuarial modeling and forecasting for Medicare Advantage Special Needs Plans
Analyze large claims, utilization, and cost datasets to assess risk and performance
Develop predictive models and advanced analytic techniques
Provide strategic actuarial input for contract negotiations and senior leadership
Remote role (U.S.-based hires) with Minneapolis/DC office attendance rules

DOMAIN EXPERTISE

Healthcare actuarial experience
Analyzing and modeling benefit and utilization data
Developing and implementing new benefit strategies or programs
Health care risk management and benefit operations
Health plan analytics and actuarial modeling techniques

KEY REQUIREMENTS

Credentialed Actuary (ASA or FSA) required
5+ years of healthcare actuarial experience with leadership responsibility
Experience analyzing and modeling benefit and utilization data
Advanced proficiency with Excel, SAS, SQL, and Power BI
Ability to support Medicare Advantage forecasting and bids

TECH STACK

Excel
Power_BI

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead actuarial modeling and forecasting for Medicare Advantage Special Needs Plans
Analyze large claims, utilization, and cost datasets to assess risk and performance
Develop predictive models and advanced analytic techniques
Provide strategic actuarial input for contract negotiations and senior leadership
Remote role (U.S.-based hires) with Minneapolis/DC office attendance rules

DOMAIN EXPERTISE

Healthcare actuarial experience
Analyzing and modeling benefit and utilization data
Developing and implementing new benefit strategies or programs
Health care risk management and benefit operations
Health plan analytics and actuarial modeling techniques

KEY REQUIREMENTS

Credentialed Actuary (ASA or FSA) required
5+ years of healthcare actuarial experience with leadership responsibility
Experience analyzing and modeling benefit and utilization data
Advanced proficiency with Excel, SAS, SQL, and Power BI
Ability to support Medicare Advantage forecasting and bids

TECH STACK

Excel
Power_BI

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead actuarial modeling and forecasting for Medicare Advantage Special Needs Plans
Analyze large claims, utilization, and cost datasets to assess risk and performance
Develop predictive models and advanced analytic techniques
Provide strategic actuarial input for contract negotiations and senior leadership
Remote role (U.S.-based hires) with Minneapolis/DC office attendance rules