Manager, Actuary - Medical Cost Economics (Remote)
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Role Summary
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Manager-level health actuarial role (Medical Cost Economics) at a health plan. Lead a small team to analyze medical and pharmacy cost, forecast financial results, and drive medical cost improvement strategies across product, clinical, and network functions. Requires ASA or FSA and ~6.5 years' health insurance experience. Remote within the continental US with occasional travel to Pittsburgh, PA.
JOB DESCRIPTION SUMMARY
- Lead medical cost economics analyses and cost improvement strategies for a health plan
- Manage a team of 2–4 actuarial analysts and oversee complex projects
- Forecast financial results, analyze utilization and identify trend drivers
- Remote role within continental US; infrequent travel to Pittsburgh (2–3x/year)
- ASA or FSA required with 6.5 years’ progressive health actuarial experience
DOMAIN EXPERTISE
- health insurance/managed care actuarial experience
- medical and pharmacy claims analysis
- medical cost utilization and unit cost analysis
- forecasting financial results and variance analysis
KEY REQUIREMENTS
- ASA or FSA certification by the Society of Actuaries required
- Membership in the American Academy of Actuaries required
- Bachelor’s degree in a quantitative field required
- Minimum ~6.5 years of actuarial experience in health insurance/managed care
- Data retrieval skills and relational database experience
TECH STACK
- Excel
- PowerPoint
