Associate Actuarial Director - Remote
RemoteMedicare AdvantagePricing & RatingPredictive Modelling & MLUW Support & Portfolio Management
Role Summary
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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
