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Role Summary

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HIGHLIGHTS

Manager role at Gold Kidney Health Plan, a Medicare Advantage plan. You'll lead medical economics, IBNR reserving, forecasting, and provider contract analysis. Requires 5-7 years healthcare actuarial experience, ASA or progress toward ASA, and strong SQL/VBA/Excel skills. This is a hands-on technical leadership position based in the US.

JOB DESCRIPTION SUMMARY

  • Lead medical economics initiatives and IBNR reserving
  • Perform hands-on data mining and financial modeling
  • Manage Medicare Advantage bid pricing and forecasting
  • Supervise a team of analysts and set technical standards
  • Present actuarial insights to CFO and executive leadership

DOMAIN EXPERTISE

  • Medicare Advantage (Part C & Part D)
  • Risk adjustment models and capitation
  • Provider reimbursement principles
  • Value-based care contract analysis
  • IBNR reserving and forecasting

KEY REQUIREMENTS

  • 5-7 years healthcare actuarial or medical economics
  • ASA or majority of SOA exams preferred
  • Advanced SQL, VBA, and Excel modeling required
  • Medicare Advantage domain knowledge essential
  • US work authorization required

TECH STACK

  • Excel
  • Power_BI
  • Tableau
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Role Summary

Loading...

HIGHLIGHTS

Manager role at Gold Kidney Health Plan, a Medicare Advantage plan. You'll lead medical economics, IBNR reserving, forecasting, and provider contract analysis. Requires 5-7 years healthcare actuarial experience, ASA or progress toward ASA, and strong SQL/VBA/Excel skills. This is a hands-on technical leadership position based in the US.

JOB DESCRIPTION SUMMARY

  • Lead medical economics initiatives and IBNR reserving
  • Perform hands-on data mining and financial modeling
  • Manage Medicare Advantage bid pricing and forecasting
  • Supervise a team of analysts and set technical standards
  • Present actuarial insights to CFO and executive leadership

DOMAIN EXPERTISE

  • Medicare Advantage (Part C & Part D)
  • Risk adjustment models and capitation
  • Provider reimbursement principles
  • Value-based care contract analysis
  • IBNR reserving and forecasting

KEY REQUIREMENTS

  • 5-7 years healthcare actuarial or medical economics
  • ASA or majority of SOA exams preferred
  • Advanced SQL, VBA, and Excel modeling required
  • Medicare Advantage domain knowledge essential
  • US work authorization required

TECH STACK

  • Excel
  • Power_BI
  • Tableau

Manager of Actuarial Services & Medical Economics

Gold Kidney Health Plan

Health/Insurer/Manager Level
Gold Kidney Health Plan

Manager of Actuarial Services & Medical Economics

Gold Kidney Health Plan
United States•1mo ago
Medicare Advantage

Job Overview

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

Acturhire Base Salary Estimate

Typical range
$124k - $152k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA or near-ASA with 5-7 years of Medicare Advantage experience, strong in SQL/VBA/Excel, and skilled in medical economics, IBNR reserving, and provider contract analysis.

Benefits

Shortlist Forming
Closing Soon
45d
45 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
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$124k - $152k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA or near-ASA with 5-7 years of Medicare Advantage experience, strong in SQL/VBA/Excel, and skilled in medical economics, IBNR reserving, and provider contract analysis.

Benefits

Shortlist Forming
Closing Soon
45d
45 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."

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