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Role Summary

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HIGHLIGHTS

Senior health actuarial role in New York, leading government pricing and strategy for EmblemHealth's Medicare and State-Sponsored Programs. You will oversee pricing models, Medicare Advantage bid filings, budgeting, and financial performance for a block of 400,000–500,000 lives. Manage a high-performing actuarial team and collaborate with segment leadership.

JOB DESCRIPTION SUMMARY

  • Lead pricing and strategy for Medicare and SSP lines of business
  • Oversee Medicare Advantage bid filings and regulatory rate filings
  • Manage a high-performing actuarial team with development plans
  • Analyze business performance and support risk adjustment activities
  • Hybrid role based in New York, NY

DOMAIN EXPERTISE

  • Medicare Advantage pricing and product design
  • State-Sponsored Program (SSP) premium analytics
  • Risk adjustment modeling and forecasting

KEY REQUIREMENTS

  • 15+ years actuarial experience with ASA, or 12+ with FSA
  • 10+ years health insurance actuarial experience, preferably Medicare
  • FSA strongly preferred
  • Proven management and leadership skills
  • Eligible to work in the US without sponsorship

TECH STACK

  • Excel
  • Access
  • PowerPoint
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Role Summary

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HIGHLIGHTS

Senior health actuarial role in New York, leading government pricing and strategy for EmblemHealth's Medicare and State-Sponsored Programs. You will oversee pricing models, Medicare Advantage bid filings, budgeting, and financial performance for a block of 400,000–500,000 lives. Manage a high-performing actuarial team and collaborate with segment leadership.

JOB DESCRIPTION SUMMARY

  • Lead pricing and strategy for Medicare and SSP lines of business
  • Oversee Medicare Advantage bid filings and regulatory rate filings
  • Manage a high-performing actuarial team with development plans
  • Analyze business performance and support risk adjustment activities
  • Hybrid role based in New York, NY

DOMAIN EXPERTISE

  • Medicare Advantage pricing and product design
  • State-Sponsored Program (SSP) premium analytics
  • Risk adjustment modeling and forecasting

KEY REQUIREMENTS

  • 15+ years actuarial experience with ASA, or 12+ with FSA
  • 10+ years health insurance actuarial experience, preferably Medicare
  • FSA strongly preferred
  • Proven management and leadership skills
  • Eligible to work in the US without sponsorship

TECH STACK

  • Excel
  • Access
  • PowerPoint

AVP, Actuary-Government Business

EmblemHealth

Health/Insurer/VP Level
EmblemHealth

AVP, Actuary-Government Business

EmblemHealth
New York, New York, United States•5d ago
HybridMedicare AdvantageMedicaidMedicare SupplementHealth Other

Job Overview

Salary
$162k - $302k
Years of Experience
12+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An experienced health actuary (FSA or near-FSA) with 12–15 years in Medicare Advantage pricing, strong managerial skills, and executive presence to influence multi-year strategy.

ASA

Benefits

Bonus Eligible
Active Screening
Standard Review
5d
5 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary
$162k - $302k
Years of Experience
12+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An experienced health actuary (FSA or near-FSA) with 12–15 years in Medicare Advantage pricing, strong managerial skills, and executive presence to influence multi-year strategy.

ASA

Benefits

Bonus Eligible
Active Screening
Standard Review
5d
5 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

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