Director-level role leading actuarial and healthcare analytics for a health plan-focused diagnostics company. Oversees actuarial models, financial forecasts, reserving, pricing, and risk adjustment. Partners with executive leadership, finance, and product teams. Remote eligible with quarterly travel to Tampa, FL. Requires ASA, MAAA, and 5+ years in managed care.
Key Requirements
ASA designation required
MAAA membership required
5+ years actuarial experience in health plan/managed care
Expertise in healthcare pricing, reserving, or risk adjustment
Proficiency in Excel/VBA, Tableau, SAS, R, or Python
Skills & Domain
ToolsExcelTableauSnowflakeDatabricksAWS
DomainHealth plan or managed care settingHealthcare actuarial pricing, reserving, or risk adjustmentACA regulations and CMS programs (Medicare Advantage, Medicaid)Medical coding systems (ICD-10, CPT, HCPCS, DRG)