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Role Summary

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HIGHLIGHTS

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.

JOB DESCRIPTION SUMMARY

  • Lead actuarial models, financial forecasts, and reserving for health plans
  • Oversee medical cost trend analysis, IBNR, and claims development
  • Partner with finance, analytics, network management, and product teams
  • Remote role with quarterly travel to Tampa, FL
  • Requires ASA, MAAA, and 5+ years in managed care

DOMAIN EXPERTISE

  • Health plan or managed care setting
  • Healthcare actuarial pricing, reserving, or risk adjustment
  • ACA regulations and CMS programs (Medicare Advantage, Medicaid)
  • Medical coding systems (ICD-10, CPT, HCPCS, DRG)

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

TECH STACK

  • Excel
  • Tableau
  • Snowflake
  • Databricks
  • AWS
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Role Summary

Loading...

HIGHLIGHTS

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.

JOB DESCRIPTION SUMMARY

  • Lead actuarial models, financial forecasts, and reserving for health plans
  • Oversee medical cost trend analysis, IBNR, and claims development
  • Partner with finance, analytics, network management, and product teams
  • Remote role with quarterly travel to Tampa, FL
  • Requires ASA, MAAA, and 5+ years in managed care

DOMAIN EXPERTISE

  • Health plan or managed care setting
  • Healthcare actuarial pricing, reserving, or risk adjustment
  • ACA regulations and CMS programs (Medicare Advantage, Medicaid)
  • Medical coding systems (ICD-10, CPT, HCPCS, DRG)

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

TECH STACK

  • Excel
  • Tableau
  • Snowflake
  • Databricks
  • AWS

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•1d ago
RemoteMedicare AdvantageMedicaidACA Exchange

Job Overview

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

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

Benefits

Fresh Role
Premium Window
1d
1 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
5+ Years
Work Type
Permanent
Full Time

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

Benefits

Fresh Role
Premium Window
1d
1 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."

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