Lead Actuary Medicare Advantage
Horizon Blue Cross Blue Shield of New Jersey
Lead Actuary Medicare Advantage
Hopewell, NJ - Remote•3mo ago
RemoteMedicare Advantage
Role Summary
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Lead Health actuary role focused on Medicare Advantage bid pricing and forecasting. You will build internal tools, perform member- and cohort-level profitability analysis, and communicate results to stakeholders. Senior-level, remote role based in the NJ/NY/PA/CT/DE region (Hopewell, NJ preferred).
JOB DESCRIPTION SUMMARY
- Lead Medicare Advantage bid pricing and forecasting for joint-venture business
- Build internal tools and member-level profitability analyses
- Perform forecasting, variance investigation, and ad-hoc analyses
- Communicate results to senior leadership and stakeholders
- Remote role requiring residence in NJ, NY, PA, CT, or DE
DOMAIN EXPERTISE
- Medicare Advantage bid pricing
- Medicare Advantage bid regulations and instructions
- Member-level profitability analysis
- Forecasting and profitability analysis
KEY REQUIREMENTS
- 5+ years of Medicare Advantage actuarial bid pricing experience
- Bachelor's degree required (Math/Stats/Actuarial preferred)
- Expert Excel skills
- Advanced proficiency with SAS or SQL
- Must reside in NJ, NY, PA, CT, or DE
TECH STACK
- Excel
- PowerPoint
