Senior Consulting Actuary - VBP
Medicare AdvantageMedicaidACA ExchangeProduct Development & Plan DesignPredictive Modelling & MLBusiness Intelligence & Reporting
Role Summary
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Senior health consulting actuary focused on value-based payment (VBP) models, especially Medicare fee-for-service ACOs and Medicare Advantage. You’ll lead client engagements, design and evaluate VBP programs, and manage project teams across Medicaid, ACA, and MA lines. This supervisory role includes business development, mentoring, and cross-functional collaboration in the US.
JOB DESCRIPTION SUMMARY
- Lead client engagements and manage deliverables for VBP projects
- Design, evaluate, and monitor value-based payment models
- Provide technical expertise in claims analysis, risk adjustment, forecasting
- Supervise, mentor, and delegate work to actuarial teams
- Participate in business development and industry presentations
DOMAIN EXPERTISE
- Designing or operating value-based payment models
- Medicare Advantage and Medicare ACO experience
- Claims analysis and risk adjustment
- Forecast and financial modeling for health programs
KEY REQUIREMENTS
- Minimum 8 years of healthcare actuarial experience
- FSA designation or ASA with additional experience required
- At least 2 years of project or client management experience
- Experience with Medicare Advantage, Medicaid, ACA, and VBP models
- Technical skills in claims analysis, risk adjustment, and forecasting
TECH STACK
- No tech stack specified
