Role Summary
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Senior Health actuary role at Community Health Plan of Washington (Seattle, hybrid). Lead pricing, reserving, forecasting, and state and federal actuarial filings for Medicaid, Medicare Advantage, and Individual & Family products. Responsible for developing risk and rating assumptions, building complex data models, and providing management reporting and recommendations. Senior individual-contributor position requiring an ASA or FSA and extensive health plan experience.
JOB DESCRIPTION SUMMARY
- Lead pricing, reserving, forecasting, and state/federal actuarial filings for health products
- Work across managed Medicaid, Medicare Advantage, and Individual & Family lines
- Design and build complex data models and analyze large datasets
- Hybrid role: remote with quarterly in-person meetings in Seattle
- Senior role requiring ASA or FSA and 8+ years' healthcare actuarial experience
DOMAIN EXPERTISE
- Managed Medicaid actuarial experience
- Medicare Advantage actuarial experience
- Individual & Family lines actuarial experience
- Pricing, reserving, and forecasting for health plans
- State and federal actuarial filings and rate submissions
KEY REQUIREMENTS
- Bachelor’s degree in Actuarial Science, Statistics, or Mathematics required
- Current ASA or FSA credential required
- Minimum 8 years as a Healthcare Actuary, preferably with a health plan
- Experience in pricing, reserving, forecasting, and actuarial modeling
- Must have valid driver’s license and proof of automobile insurance for travel
TECH STACK
- Excel
- PowerPoint
- Access
