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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
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Salary Pro Post a Job

Log in

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

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

UnitedHealth Group

Health/Insurer/Director Level

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

UnitedHealth Group

Pearland, Texas, United States•3w 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

Shortlist Forming

Closing Soon

24d

24 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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

Shortlist Forming

Closing Soon

24d

24 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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