Role Summary

HIGHLIGHTS

Director-level health actuarial role focused on Medicare Advantage Special Needs Plans. Lead complex actuarial projects, develop models and forecasts, and provide strategic recommendations to product, provider and finance partners. Remote within the U.S.; Minneapolis/DC hires have an in-office requirement.

JOB DESCRIPTION SUMMARY

Lead actuarial modeling and forecasting for Medicare Advantage Special Needs Plans
Analyze large claims, utilization, and cost datasets to assess performance
Translate analytics into strategic recommendations for product and finance leaders
Remote role (U.S.-based); Minneapolis/DC hires required in-office four days/week
Mentor a small team of actuarial students and lead cross-functional projects

DOMAIN EXPERTISE

Healthcare actuarial experience
Modeling and trending benefit and utilization data
Developing and implementing benefit strategies and programs
Health care risk management and benefit operations
Familiarity with health plan analytics and actuarial modelling techniques

KEY REQUIREMENTS

Credentialed actuary required (ASA or FSA)
5+ years of healthcare actuarial experience with leadership responsibility
Experience modeling and trending benefit and utilization data
Bachelor's degree in Actuarial Science, Mathematics, Finance or related field
Advanced proficiency with Excel, SAS, SQL, and Power BI

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 performance
Translate analytics into strategic recommendations for product and finance leaders
Remote role (U.S.-based); Minneapolis/DC hires required in-office four days/week
Mentor a small team of actuarial students and lead cross-functional projects

DOMAIN EXPERTISE

Healthcare actuarial experience
Modeling and trending benefit and utilization data
Developing and implementing benefit strategies and programs
Health care risk management and benefit operations
Familiarity with health plan analytics and actuarial modelling techniques

KEY REQUIREMENTS

Credentialed actuary required (ASA or FSA)
5+ years of healthcare actuarial experience with leadership responsibility
Experience modeling and trending benefit and utilization data
Bachelor's degree in Actuarial Science, Mathematics, Finance or related field
Advanced proficiency with Excel, SAS, SQL, and Power BI

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 performance
Translate analytics into strategic recommendations for product and finance leaders
Remote role (U.S.-based); Minneapolis/DC hires required in-office four days/week
Mentor a small team of actuarial students and lead cross-functional projects