acturhire
BlogPost a Job
Log in
CompaniesBlogBrowse JobsPost a JobPrivacy PolicyTerms and Conditions
© 2026 Acturhire. All rights reserved.
acturhire
BlogPost a Job
Log in
Back to Search

Role Summary

Loading...

HIGHLIGHTS

Executive health actuarial role leading pricing and reserving for government programs (Medicaid, Medicare, CHIP, ACA) based in Philadelphia. You will own pricing strategy, reserves, trend analytics, regulatory submissions, and build an in-house actuarial capability. This Chief Actuary role requires an FSA and 10+ years of health insurance actuarial leadership.

JOB DESCRIPTION SUMMARY

  • Lead pricing strategy and rate development for Medicare, ACA, Medicaid, and CHIP
  • Own reserving, financial forecasting, and trend analytics to support finance
  • Serve as actuarial contact for state and federal regulators and filings
  • Build, lead, and mentor a high-performing actuarial team
  • Hybrid role based in Philadelphia (Jefferson Health Plans headquarters)

DOMAIN EXPERTISE

  • leadership in Medicaid, Medicare, CHIP, and ACA programs
  • pricing and reserving for health insurance products
  • regulatory rate filing and submissions experience
  • models for pricing, reserving, and risk adjustment

KEY REQUIREMENTS

  • FSA (Fellow of the Society of Actuaries) designation required
  • 10+ years of actuarial experience in health insurance with government programs
  • Proven leadership in pricing, reserving, and trend analysis for Medicare/ACA/Medicaid
  • Experience with regulatory rate filings and working with state/federal regulators
  • Proficiency in SQL, SAS, R, Python, Excel, and VBA for actuarial modeling

TECH STACK

  • Excel
acturhire
BlogPost a Job
Log in

Role Summary

Loading...

HIGHLIGHTS

Executive health actuarial role leading pricing and reserving for government programs (Medicaid, Medicare, CHIP, ACA) based in Philadelphia. You will own pricing strategy, reserves, trend analytics, regulatory submissions, and build an in-house actuarial capability. This Chief Actuary role requires an FSA and 10+ years of health insurance actuarial leadership.

JOB DESCRIPTION SUMMARY

  • Lead pricing strategy and rate development for Medicare, ACA, Medicaid, and CHIP
  • Own reserving, financial forecasting, and trend analytics to support finance
  • Serve as actuarial contact for state and federal regulators and filings
  • Build, lead, and mentor a high-performing actuarial team
  • Hybrid role based in Philadelphia (Jefferson Health Plans headquarters)

DOMAIN EXPERTISE

  • leadership in Medicaid, Medicare, CHIP, and ACA programs
  • pricing and reserving for health insurance products
  • regulatory rate filing and submissions experience
  • models for pricing, reserving, and risk adjustment

KEY REQUIREMENTS

  • FSA (Fellow of the Society of Actuaries) designation required
  • 10+ years of actuarial experience in health insurance with government programs
  • Proven leadership in pricing, reserving, and trend analysis for Medicare/ACA/Medicaid
  • Experience with regulatory rate filings and working with state/federal regulators
  • Proficiency in SQL, SAS, R, Python, Excel, and VBA for actuarial modeling

TECH STACK

  • Excel

Job Overview

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

Ideal Candidate Profile

Senior health actuary (Chief level) with an FSA and 10+ years in Medicaid/Medicare/ACA who excels at pricing, reserving, regulatory filings, and building actuarial teams.

FSA

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term DisabilityHSA/FSA Available401(k) PlanTuition ReimbursementHybrid Work
Shortlist Forming
Closing Soon
76d
76 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
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior health actuary (Chief level) with an FSA and 10+ years in Medicaid/Medicare/ACA who excels at pricing, reserving, regulatory filings, and building actuarial teams.

FSA

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term DisabilityHSA/FSA Available401(k) PlanTuition ReimbursementHybrid Work
Shortlist Forming
Closing Soon
76d
76 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."

Similar Opportunities

AIG
2mo ago

Actuary & AVP - Lexington Property Pricing

AIG • PA-Philadelphia

Salary not specified
AIG
2mo ago

Senior Actuarial Analyst, Reserving - Workers Compensation

AIG • NY-New York

$100k - $125k
AIG
2mo ago

Actuary & Director - PCS

AIG • NY-New York

$159k - $204k

Similar Opportunities

AIG
2mo ago

Actuary & AVP - Lexington Property Pricing

AIG • PA-Philadelphia

Salary not specified
AIG
2mo ago

Senior Actuarial Analyst, Reserving - Workers Compensation

AIG • NY-New York

$100k - $125k
AIG
2mo ago

Actuary & Director - PCS

AIG • NY-New York

$159k - $204k
Health/Insurer/C Suite Level
T

Chief Actuary, Jefferson Health Plans

Thomas Jefferson University Hospitals, Inc.•Philadelphia, United States•2mo ago
HybridMedicaidACA ExchangeHealth OtherPricing & RatingReserving & ValuationPredictive Modelling & ML