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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

Loading...

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

REMOTE - AVP, Actuarial Science (Medicaid) - R13187

CareSource

Health/Insurer/VP Level
CareSource

REMOTE - AVP, Actuarial Science (Medicaid) - R13187

CareSource
United States•1h ago
RemoteMedicaidCommercial Employer HealthMedicare Advantage

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
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

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
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

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