Senior Consulting Actuary - VBP
Medicare AdvantageMedicaidACA ExchangeHealth OtherProduct Development & Plan DesignPredictive Modelling & MLBusiness Intelligence & Reporting
Role Summary
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Senior health consulting actuary focused on value-based payment (VBP) models across Medicare, Medicaid, and ACA. You will lead client engagements, design and monitor VBP forecasting and risk-adjustment models, supervise project teams, and support business development. Role is based in the United States and includes supervisory responsibilities.
JOB DESCRIPTION SUMMARY
- Lead client engagements on VBP for Medicare fee-for-service ACOs and Medicare Advantage
- Design and oversee forecasting and risk-adjustment/claims analyses
- Manage and mentor actuarial project teams with supervisory responsibilities
- Support business development, RFP responses, and conference presentations
- Senior role requiring 8+ years healthcare actuarial experience (US)
DOMAIN EXPERTISE
- Value-based payment model design and evaluation
- Medicare fee-for-service ACOs and Medicare Advantage
- Claims analysis and risk adjustment
- Forecast and financial modeling for healthcare programs
- Client and project management in healthcare actuarial engagements
KEY REQUIREMENTS
- Minimum 8 years of healthcare actuarial experience
- FSA designation OR ASA designation with additional experience
- At least 2 years of project or client management experience
- Demonstrated experience with value-based payment models
- Strong technical expertise in claims analysis, risk adjustment, and forecasting
TECH STACK
- No tech stack specified
