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Role Summary

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HIGHLIGHTS

Senior actuarial leadership role at Mosaic Health, supporting three business entities (MPG, CareMore, apree health) with value-based care analytics, pricing strategy, and risk management. The AVP builds and leads the actuarial function, reports to the CFO, and focuses on medical cost analysis, IBNR reserving, predictive modeling, and enterprise risk. This is a high-visibility executive position for a credentialed actuary (FSA/FCAS) with deep healthcare experience.

JOB DESCRIPTION SUMMARY

  • Lead actuarial function across three primary care entities
  • Design medical cost, IBNR, and predictive models
  • Support value-based care contracts and payer negotiations
  • Partner with CFO on pricing, rate filings, and M&A
  • Build and mentor a high-performing actuarial team

DOMAIN EXPERTISE

  • Medical cost analysis and trend forecasting
  • Value-based payment model analytics
  • IBNR reserving and claims development
  • Health plan pricing and rate filings
  • Medicare Advantage and/or Medicaid exposure

KEY REQUIREMENTS

  • FSA or FCAS required; ASA with exp considered
  • 10+ years actuarial experience, 5+ in healthcare
  • Expertise in medical cost analysis & reserve development
  • Proficiency in SAS, R, or Python
  • Executive-level communication skills

TECH STACK

  • Excel
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Role Summary

Loading...

HIGHLIGHTS

Senior actuarial leadership role at Mosaic Health, supporting three business entities (MPG, CareMore, apree health) with value-based care analytics, pricing strategy, and risk management. The AVP builds and leads the actuarial function, reports to the CFO, and focuses on medical cost analysis, IBNR reserving, predictive modeling, and enterprise risk. This is a high-visibility executive position for a credentialed actuary (FSA/FCAS) with deep healthcare experience.

JOB DESCRIPTION SUMMARY

  • Lead actuarial function across three primary care entities
  • Design medical cost, IBNR, and predictive models
  • Support value-based care contracts and payer negotiations
  • Partner with CFO on pricing, rate filings, and M&A
  • Build and mentor a high-performing actuarial team

DOMAIN EXPERTISE

  • Medical cost analysis and trend forecasting
  • Value-based payment model analytics
  • IBNR reserving and claims development
  • Health plan pricing and rate filings
  • Medicare Advantage and/or Medicaid exposure

KEY REQUIREMENTS

  • FSA or FCAS required; ASA with exp considered
  • 10+ years actuarial experience, 5+ in healthcare
  • Expertise in medical cost analysis & reserve development
  • Proficiency in SAS, R, or Python
  • Executive-level communication skills

TECH STACK

  • Excel

Job Overview

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

Ideal Candidate Profile

Ideal for an FSA/FCAS with 10+ years of actuarial experience, including 5+ in healthcare (health plan, provider, or managed care). Expertise in medical cost analysis, IBNR, and value-based care analytics, with executive presence and the ability to build a new actuarial function from scratch.

FSAFCAS

Benefits

Fresh Role
Premium Window
3d
3 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

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

Ideal Candidate Profile

Ideal for an FSA/FCAS with 10+ years of actuarial experience, including 5+ in healthcare (health plan, provider, or managed care). Expertise in medical cost analysis, IBNR, and value-based care analytics, with executive presence and the ability to build a new actuarial function from scratch.

FSAFCAS

Benefits

Fresh Role
Premium Window
3d
3 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

AVP of Actuarial Analysis

Millennium Physician Group

Health/Insurer/VP Level
Millennium Physician Group

AVP of Actuarial Analysis

Millennium Physician Group
Orlando, Florida, United States•3d ago
RemoteMedicare AdvantageMedicaidCommercial Employer HealthIndividual Health

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