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Role Summary

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HIGHLIGHTS

Senior health actuarial leadership role (AVP) focused on Medicare and State-Sponsored Programs in New York (hybrid). You will lead enterprise government actuarial activities, own pricing, bid filings, premium analytics, forecasting and financial performance for Medicare/SSP lines and manage a high-performing actuarial team.

JOB DESCRIPTION SUMMARY

  • Lead pricing and strategy for Medicare and State-Sponsored Programs (SSP)
  • Own Enterprise Medicare bid filings and regulatory premium filings
  • Manage and develop a high-performing actuarial team (people leader)
  • Drive forecasting, risk adjustment support, and premium analytics
  • Hybrid role based in New York; MS Office proficiency required

DOMAIN EXPERTISE

  • Medicare Advantage pricing
  • Medicare bid filing experience
  • SSP premium analytics and filings
  • Employer group medical pricing
  • Risk adjustment forecasting and valuation

KEY REQUIREMENTS

  • 15+ years actuarial experience with ASA, or 12+ years with FSA
  • 10+ years health insurance actuarial experience, preferably Medicare
  • Proven experience with Medicare bid filings and regulatory submissions
  • Demonstrated people leadership and ability to manage large projects
  • Bachelor's degree in Actuarial Science, Math, Economics or similar

TECH STACK

  • Excel
  • Access
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial leadership role (AVP) focused on Medicare and State-Sponsored Programs in New York (hybrid). You will lead enterprise government actuarial activities, own pricing, bid filings, premium analytics, forecasting and financial performance for Medicare/SSP lines and manage a high-performing actuarial team.

JOB DESCRIPTION SUMMARY

  • Lead pricing and strategy for Medicare and State-Sponsored Programs (SSP)
  • Own Enterprise Medicare bid filings and regulatory premium filings
  • Manage and develop a high-performing actuarial team (people leader)
  • Drive forecasting, risk adjustment support, and premium analytics
  • Hybrid role based in New York; MS Office proficiency required

DOMAIN EXPERTISE

  • Medicare Advantage pricing
  • Medicare bid filing experience
  • SSP premium analytics and filings
  • Employer group medical pricing
  • Risk adjustment forecasting and valuation

KEY REQUIREMENTS

  • 15+ years actuarial experience with ASA, or 12+ years with FSA
  • 10+ years health insurance actuarial experience, preferably Medicare
  • Proven experience with Medicare bid filings and regulatory submissions
  • Demonstrated people leadership and ability to manage large projects
  • Bachelor's degree in Actuarial Science, Math, Economics or similar

TECH STACK

  • Excel
  • Access
  • PowerPoint

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Job Overview

Salary
Salary not specified
Years of Experience
12+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced senior health actuary (Director/AVP) with deep Medicare pricing and filing experience, FSA/ASA credentialing, and strength leading teams and large cross-functional programs.

ASAFSA

Benefits

Shortlist Forming
Closing Soon
67d
67 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
12+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced senior health actuary (Director/AVP) with deep Medicare pricing and filing experience, FSA/ASA credentialing, and strength leading teams and large cross-functional programs.

ASAFSA

Benefits

Shortlist Forming
Closing Soon
67d
67 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Health/Insurer/VP Level
EmblemHealth

AVP, Actuary-Government Business

EmblemHealth•New York, United States•2mo ago
HybridMedicare AdvantageMedicare SupplementMedicaidCommercial Employer HealthPricing & RatingRegulatory ReportingExperience Studies