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Role Summary

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)

Director, Actuarial Services

Avalon Administrative Services LLC

Health/Other/Director Level
Avalon Administrative Services LLC

Director, Actuarial Services

Avalon Administrative Services LLC

Tampa, Florida, United States · Remote · 1mo ago

Medicare AdvantageMedicaidACA Exchange
Salary
$150k - $153kest.
Experience
5+ Years

Job Overview

Salary
Salary not specified
Experience
5+ Years

Acturhire Base Salary Estimate

Typical range
$150k - $153k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA with MAAA and 5+ years in health plan/managed care, with deep expertise in pricing, reserving, and risk adjustment. Strong analytical and communication skills, comfortable with tools like Python, R, SAS, and Tableau.

ASAOther

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