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Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on actuarial analytics and financial reporting for Medicare Advantage, Medicaid, and ACO value-based care in Washington, DC. You will perform IBNR, pricing, forecasting, risk adjustment, and P&L analysis while partnering with Finance, Clinical, and Network teams. The role reports to the Director of Actuarial Analytics and Reporting and requires an ASA and 5+ years of relevant experience.

JOB DESCRIPTION SUMMARY

  • Senior actuarial analytics role supporting Medicare Advantage, Medicaid, and ACOs
  • Perform IBNR, pricing, forecasting, trend analysis, and P&L reporting
  • Analyze large claims, encounter, and enrollment datasets (MMR, MOR, BCDA, CCLF)
  • Work onsite in Washington, DC; reports to the Director of Actuarial Analytics
  • Requires ASA and 5+ years of actuarial/health analytics experience

DOMAIN EXPERTISE

  • Medicare Advantage, Medicaid, and ACO (MSSP/REACH) analytics
  • IBNR development and reserving
  • Pricing, underwriting, and multi-year pro forma projections
  • Risk adjustment analytics (HCC/RAF) and RAF monitoring
  • Claims, encounter, and enrollment data analysis (MMR, MOR, BCDA, CCLF)

KEY REQUIREMENTS

  • ASA designation required
  • 5+ years of actuarial, financial, or healthcare analytics experience
  • Experience with Medicare/Medicaid claims and ACO (MSSP/REACH) models
  • Hands-on IBNR, pricing/forecasting, and risk adjustment (HCC/RAF) experience
  • Proficiency with Excel and data retrieval in SQL, SAS, or Python

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on actuarial analytics and financial reporting for Medicare Advantage, Medicaid, and ACO value-based care in Washington, DC. You will perform IBNR, pricing, forecasting, risk adjustment, and P&L analysis while partnering with Finance, Clinical, and Network teams. The role reports to the Director of Actuarial Analytics and Reporting and requires an ASA and 5+ years of relevant experience.

JOB DESCRIPTION SUMMARY

  • Senior actuarial analytics role supporting Medicare Advantage, Medicaid, and ACOs
  • Perform IBNR, pricing, forecasting, trend analysis, and P&L reporting
  • Analyze large claims, encounter, and enrollment datasets (MMR, MOR, BCDA, CCLF)
  • Work onsite in Washington, DC; reports to the Director of Actuarial Analytics
  • Requires ASA and 5+ years of actuarial/health analytics experience

DOMAIN EXPERTISE

  • Medicare Advantage, Medicaid, and ACO (MSSP/REACH) analytics
  • IBNR development and reserving
  • Pricing, underwriting, and multi-year pro forma projections
  • Risk adjustment analytics (HCC/RAF) and RAF monitoring
  • Claims, encounter, and enrollment data analysis (MMR, MOR, BCDA, CCLF)

KEY REQUIREMENTS

  • ASA designation required
  • 5+ years of actuarial, financial, or healthcare analytics experience
  • Experience with Medicare/Medicaid claims and ACO (MSSP/REACH) models
  • Hands-on IBNR, pricing/forecasting, and risk adjustment (HCC/RAF) experience
  • Proficiency with Excel and data retrieval in SQL, SAS, or Python

TECH STACK

  • Excel
  • PowerPoint

Job Overview

Salary
$125k - $150k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary (ASA) with 5+ years in Medicare/Medicaid/ACO analytics who excels at IBNR, pricing, RAF analytics and SQL/SAS/Python data work.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanHigh 401(k) MatchGenerous VacationCommuter BenefitsConference Support
Fresh Role
Premium Window
1d
1 days ago

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
$125k - $150k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a senior health actuary (ASA) with 5+ years in Medicare/Medicaid/ACO analytics who excels at IBNR, pricing, RAF analytics and SQL/SAS/Python data work.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanHigh 401(k) MatchGenerous VacationCommuter BenefitsConference Support
Fresh Role
Premium Window
1d
1 days ago

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."

Health/Other/IC Level
Cinqcare

Senior Actuary, Actuarial Analytics and Reporting

Cinqcare•Washington, District of Columbia, United States•1d ago
OnsiteMedicare AdvantageMedicaidHealth OtherReserving & ValuationPricing & RatingBusiness Intelligence & Reporting

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