AVP, Actuary-Government Business
HybridMedicare AdvantageMedicaidCommercial Employer HealthMedicare SupplementPricing & RatingRegulatory ReportingUW Support & Portfolio Management
Role Summary
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Senior health actuarial leadership role focused on Medicare and State-Sponsored Programs in New York (hybrid). You will lead the Enterprise Government Actuarial team, own Medicare Advantage bid filings, premium rate filings, pricing assumptions, forecasting, and financial performance across ~400–500k lives. Role emphasizes Medicare pricing strategy, regulatory filings, risk-adjustment forecasting, and people leadership.
JOB DESCRIPTION SUMMARY
- Lead pricing and strategy for Medicare and State-Sponsored Program (SSP) lines
- Own Medicare Advantage bid filings and premium rate filings with regulators
- Manage and develop a high-performing Enterprise Government Actuarial team
- Drive forecasting, premium analytics, budgeting, and financial tracking
- Hybrid position based in New York supporting enterprise government plans
DOMAIN EXPERTISE
- Medicare Advantage pricing and bids
- State-Sponsored Program (SSP) regulatory filings
- Employer group medical pricing
- Risk adjustment forecasting and monitoring
KEY REQUIREMENTS
- 15+ years actuarial experience with ASA or 12+ years with FSA
- 10+ years health insurance actuarial experience, preferably Medicare
- Proven experience overseeing Medicare Advantage bids and regulatory filings
- Demonstrated track record managing large actuarial teams and projects
TECH STACK
- Excel
- Access
- PowerPoint
