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Role Summary

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HIGHLIGHTS

Senior executive pricing and forecasting role overseeing actuarial functions for a US health plan. You will drive strategy, manage models and processes, and represent the company to regulators for Medicaid, Commercial, and Medicare Advantage lines. Based remotely with <20% travel, this role requires an ASA/FSA and at least 10 years of actuarial experience.

JOB DESCRIPTION SUMMARY

Lead pricing, forecasting, and month-end close for health lines
Oversee actuarial processes and model improvements
Represent company to regulators and senior leadership
Fully remote role with <20% travel
ASA or FSA required; MAAA membership required

DOMAIN EXPERTISE

Healthcare actuarial (Medicaid, Commercial, Medicare Advantage)
Rate negotiations and state/federal reporting
Managed care and government program experience

KEY REQUIREMENTS

ASA or FSA and MAAA membership required
10+ years of actuarial experience
5+ years in health actuarial (Medicaid, Commercial, Medicare)
5+ years of management experience preferred
Experience with state/federal regulators and reporting

TECH STACK

Excel
Word
PowerPoint

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Role Summary

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HIGHLIGHTS

Senior executive pricing and forecasting role overseeing actuarial functions for a US health plan. You will drive strategy, manage models and processes, and represent the company to regulators for Medicaid, Commercial, and Medicare Advantage lines. Based remotely with <20% travel, this role requires an ASA/FSA and at least 10 years of actuarial experience.

JOB DESCRIPTION SUMMARY

Lead pricing, forecasting, and month-end close for health lines
Oversee actuarial processes and model improvements
Represent company to regulators and senior leadership
Fully remote role with <20% travel
ASA or FSA required; MAAA membership required

DOMAIN EXPERTISE

Healthcare actuarial (Medicaid, Commercial, Medicare Advantage)
Rate negotiations and state/federal reporting
Managed care and government program experience

KEY REQUIREMENTS

ASA or FSA and MAAA membership required
10+ years of actuarial experience
5+ years in health actuarial (Medicaid, Commercial, Medicare)
5+ years of management experience preferred
Experience with state/federal regulators and reporting

TECH STACK

Excel
Word
PowerPoint

Job Overview

Salary

$150k - $300k

Years of Experience

10+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Ideal for an ASA or FSA with 10+ years of health actuarial experience, including Medicaid, Commercial, and Medicare Advantage. Must have strong leadership, regulatory engagement, and communication skills to drive strategy and manage a team.

ASAFSAOther

Benefits

Bonus EligibleAnnual Bonus

Shortlist Forming

Closing Soon

34d

34 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

$150k - $300k

Years of Experience

10+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Ideal for an ASA or FSA with 10+ years of health actuarial experience, including Medicaid, Commercial, and Medicare Advantage. Must have strong leadership, regulatory engagement, and communication skills to drive strategy and manage a team.

ASAFSAOther

Benefits

Bonus EligibleAnnual Bonus

Shortlist Forming

Closing Soon

34d

34 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."

REMOTE - AVP, Actuarial Science (Medicaid) - R13187

CareSource

Closed

Health/Insurer/VP Level

REMOTE - AVP, Actuarial Science (Medicaid) - R13187

United States · Remote · 1mo ago

MedicaidCommercial Employer HealthMedicare Advantage

Closed

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