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Role Summary

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HIGHLIGHTS

Senior Director and Chief Actuary for Kelsey-Seybold Clinic's $1B+ Medicare Advantage health plan, also overseeing Commercial risk lines. Responsible for pricing strategy, bid development, IBNR, financial forecasting, and leading actuarial and healthcare economics teams. Based in Houston, Texas area.

JOB DESCRIPTION SUMMARY

  • Lead pricing and financial performance for $1B+ Medicare Advantage plan
  • Own IBNR, claims projections, and trend analysis
  • Develop actuarial models for payer contract negotiations
  • Manage actuarial and healthcare economics teams
  • Hybrid/onsite role in Pearland, TX area

DOMAIN EXPERTISE

  • Medicare Advantage pricing and bid development
  • IBNR modeling
  • Healthcare cost analysis
  • Risk-based contracting

KEY REQUIREMENTS

  • ASA or FSA required
  • 10+ years experience with 8+ years management
  • 5+ years as a Healthcare Actuary
  • 3+ years Medicare Advantage bid development
  • 3+ years programming in SQL, SAS, or Python

TECH STACK

  • Access
  • Other_BI_Tool
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Role Summary

Loading...

HIGHLIGHTS

Senior Director and Chief Actuary for Kelsey-Seybold Clinic's $1B+ Medicare Advantage health plan, also overseeing Commercial risk lines. Responsible for pricing strategy, bid development, IBNR, financial forecasting, and leading actuarial and healthcare economics teams. Based in Houston, Texas area.

JOB DESCRIPTION SUMMARY

  • Lead pricing and financial performance for $1B+ Medicare Advantage plan
  • Own IBNR, claims projections, and trend analysis
  • Develop actuarial models for payer contract negotiations
  • Manage actuarial and healthcare economics teams
  • Hybrid/onsite role in Pearland, TX area

DOMAIN EXPERTISE

  • Medicare Advantage pricing and bid development
  • IBNR modeling
  • Healthcare cost analysis
  • Risk-based contracting

KEY REQUIREMENTS

  • ASA or FSA required
  • 10+ years experience with 8+ years management
  • 5+ years as a Healthcare Actuary
  • 3+ years Medicare Advantage bid development
  • 3+ years programming in SQL, SAS, or Python

TECH STACK

  • Access
  • Other_BI_Tool

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Senior Director, Chief Actuary (Medicare Advantage) - Kelsey - Seybold Clinics, Houston, TX

UnitedHealth Group

Health/Insurer/Director Level
UnitedHealth Group

Senior Director, Chief Actuary (Medicare Advantage) - Kelsey - Seybold Clinics, Houston, TX

UnitedHealth Group
Pearland, Texas, United States•5d ago
Medicare AdvantageACA ExchangeCommercial Employer Health

Job Overview

Salary
$159k - $273k
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA or FSA with 10+ years in health actuarial, including 5+ years as a healthcare actuary and 3+ years in Medicare Advantage bid development. Must have strong leadership and technical skills in SQL, SAS, Python, and IBNR modeling.

ASAFSA

Benefits

Bonus EligibleEquity/Stock Options401(k) Plan
Active Screening
Standard Review
5d
5 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary
$159k - $273k
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA or FSA with 10+ years in health actuarial, including 5+ years as a healthcare actuary and 3+ years in Medicare Advantage bid development. Must have strong leadership and technical skills in SQL, SAS, Python, and IBNR modeling.

ASAFSA

Benefits

Bonus EligibleEquity/Stock Options401(k) Plan
Active Screening
Standard Review
5d
5 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."