Role Summary

HIGHLIGHTS

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

Role Summary

HIGHLIGHTS

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)