Director Actuarial Medicare
OnsiteMedicare AdvantagePricing & RatingRegulatory ReportingExperience Studies
Role Summary
Loading...HIGHLIGHTS
Director-level Health actuarial role leading the Medicare actuarial team in Rockledge, FL. You will certify Medicare Advantage bids, own pricing models and premium rate filings, and manage CMS data and Medicare quality/risk metrics. The role requires ASA or FSA and MAAA membership, plus leadership of actuarial staff and coordination across product, compliance, and provider teams.
JOB DESCRIPTION SUMMARY
- Lead Medicare actuarial team for Medicare Advantage pricing and filings
- Certify MA bids and oversee state and federal premium rate filings
- Manage CMS data processes and Medicare databases (RAPS, MMR, MOR, MAO-004)
- Director role requiring ASA or FSA and MAAA membership prior to start
- Onsite in Rockledge, FL; full-time, typical shift 8:00am–5:00pm
DOMAIN EXPERTISE
- Medicare Advantage pricing and filings
- Certifying Medicare Advantage bids
- Risk Scores and Medicare Stars analysis
- Processing CMS data files and Medicare databases (RAPS, MMR, MOR, MAO-004)
KEY REQUIREMENTS
- ASA or FSA required prior to start and maintained
- MAAA membership required prior to start and maintained
- 7+ years Medicare or similar actuarial experience
- 3+ years of leadership experience
- Proficiency with SQL, SAS, and VBA
TECH STACK
- No tech stack specified
