Senior Actuary - Member Analytics/Population Health (Remote)
RemoteMedicare AdvantageCommercial Employer HealthHealth OtherPricing & RatingRegulatory ReportingPredictive Modelling & ML
Role Summary
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Senior health actuary role (Member Analytics/Population Health) at CareFirst, supporting pricing, Medicare Advantage, actuarial finance and innovation teams. You will lead and develop actuarial staff, set long-term actuarial strategy, and represent the department to senior management and regulators. Remote role based in Baltimore/US; requires FSA and significant management experience.
JOB DESCRIPTION SUMMARY
- Lead actuarial teams across Pricing, Actuarial Finance, Medicare Advantage and Innovation
- Set long-term actuarial strategy and represent the department to regulators
- Manage, hire, and develop staff with accountability for SOA exam success
- Remote role (title listed as Remote); based in Baltimore, MD (US)
- Fellow of the Society of Actuaries (FSA) required; 8+ years experience
DOMAIN EXPERTISE
- Medicare Advantage actuarial experience
- health product pricing and risk evaluation
- experience with HMOs, POS and indemnity products
- regulatory interaction with state and federal health regulators
KEY REQUIREMENTS
- Fellow of the Society of Actuaries (FSA) required upon hire
- Minimum 8 years progressively responsible actuarial experience
- Minimum 3 years of management experience
- Extensive knowledge of health product rating techniques (HMOs, POS, indemnity)
- Must be eligible to work in the U.S. without sponsorship
TECH STACK
- No tech stack specified
