Manager, Actuary (IKC)
DaVita Kidney Care
Manager, Actuary (IKC)
East Weymouth, Massachusetts, United States•1mo ago
OnsiteMedicare AdvantageHealth Other
Role Summary
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Manager-level health actuarial role focused on Integrated Kidney Care (IKC) Medicare Advantage programs in East Weymouth, MA. You will own actuarial modeling, program financial reconciliations, forecasting of claims and CMS revenue, and enterprise risk management while managing direct reports and partnering with finance and operations. Requires ASA and significant Medicare Advantage experience.
JOB DESCRIPTION SUMMARY
- Manage actuarial modeling and financial reconciliations for IKC Medicare Advantage programs
- Forecast program experience including claims cost and CMS risk-adjusted revenue
- Develop ERM capabilities and create executive-level presentations
- Lead and mentor actuarial and medical economics analysts
- Based in East Weymouth, MA (onsite)
DOMAIN EXPERTISE
- Medicare Advantage actuarial experience
- Actuarial modeling and financial management of value-based care programs
- Managing actuarial and medical economics analysts
- Analyzing CMS reporting files (MMR, MOR) and forecasting risk adjustment revenue
KEY REQUIREMENTS
- Bachelor’s degree in Math, Statistics, Actuarial Science, or Economics required
- Associate of the Society of Actuaries (ASA) required
- At least 6 years of Medicare Advantage and actuarial experience
- Proven experience managing actuarial and/or medical economics analysts
- Extensive actuarial modeling experience in Microsoft Excel
TECH STACK
- Excel
- PowerPoint
- Alteryx
