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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role supporting Medicare Advantage at ChenMed in Miami, FL. You will manage IBNR/reserving models, run CMS risk adjustment, analyze payer claims, and support annual financial planning. The role leads a small to mid-sized team and works closely with markets and finance.

JOB DESCRIPTION SUMMARY

  • Manage and enhance IBNR/reserving models and monthly close processes
  • Run CMS risk adjustment model and calculate member-level risk scores
  • Analyze and validate payer claims data to identify cost drivers
  • Lead a small to mid-sized actuarial team (manager level)
  • Onsite in Miami, FL; up to 10% travel

DOMAIN EXPERTISE

  • IBNR modelling and reserving
  • CMS risk adjustment modeling
  • payer claims data analysis

KEY REQUIREMENTS

  • Minimum five (5) years of related actuarial experience
  • ASA designation (career ASA) required; progression to FSA noted
  • Strong skills in Visual Basic (VBA), SQL, and SAS
  • Bachelor's degree required (actuarial science, math, stats preferred)
  • Experience leading small to mid-sized teams

TECH STACK

  • Excel
  • PowerPoint
  • Access
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Role Summary

Loading...

HIGHLIGHTS

Manager-level health actuarial role supporting Medicare Advantage at ChenMed in Miami, FL. You will manage IBNR/reserving models, run CMS risk adjustment, analyze payer claims, and support annual financial planning. The role leads a small to mid-sized team and works closely with markets and finance.

JOB DESCRIPTION SUMMARY

  • Manage and enhance IBNR/reserving models and monthly close processes
  • Run CMS risk adjustment model and calculate member-level risk scores
  • Analyze and validate payer claims data to identify cost drivers
  • Lead a small to mid-sized actuarial team (manager level)
  • Onsite in Miami, FL; up to 10% travel

DOMAIN EXPERTISE

  • IBNR modelling and reserving
  • CMS risk adjustment modeling
  • payer claims data analysis

KEY REQUIREMENTS

  • Minimum five (5) years of related actuarial experience
  • ASA designation (career ASA) required; progression to FSA noted
  • Strong skills in Visual Basic (VBA), SQL, and SAS
  • Bachelor's degree required (actuarial science, math, stats preferred)
  • Experience leading small to mid-sized teams

TECH STACK

  • Excel
  • PowerPoint
  • Access

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Job Overview

Salary
$108k - $155k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced actuarial manager (Manager level) with Health/Medicare Advantage background, ASA credential, strong SQL/SAS/VBA skills, and experience leading small teams and delivering reserving and risk-adjustment analytics.

ASA

Benefits

Health InsuranceInternal Mobility Program
Shortlist Forming
Closing Soon
66d
66 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$108k - $155k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced actuarial manager (Manager level) with Health/Medicare Advantage background, ASA credential, strong SQL/SAS/VBA skills, and experience leading small teams and delivering reserving and risk-adjustment analytics.

ASA

Benefits

Health InsuranceInternal Mobility Program
Shortlist Forming
Closing Soon
66d
66 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Health/Other/Manager Level
ChenMed, LLC

Manager, Actuarial Services

ChenMed, LLC•Miami, United States•2mo ago
OnsiteMedicare AdvantageReserving & ValuationPredictive Modelling & MLExperience Studies