Role Summary

HIGHLIGHTS

Senior health actuarial role in New York focused on pricing, reserve setting, and regulatory rate filings. You will lead projects to analyze rate structures, oversee premium filings with CMS and NY DOH, and manage actuarial staff for lines like ACA, Medicare, Medicaid, and large group.

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategy for health product lines
Oversee development and filing of premium rates with CMS and NY DOH
Manage and develop actuarial staff covering ACA, Medicare, Medicaid, and large group
Perform membership, trend, and financial analyses with Product and Finance
Onsite role based in New York; senior-level position requiring ASA and MAAA

DOMAIN EXPERTISE

Health insurance actuarial experience in managed care
Experience with premium rate development and regulatory filings (CMS, NY DOH)
Membership, trend, and financial block analyses
Knowledge of reimbursement methodologies
Supervising and developing actuarial staff

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries required
10+ years relevant professional experience required
5+ years health insurance actuarial experience in managed care required
1+ year of management experience required
Proficiency with Excel, Access and data extraction, simulations, automation required

TECH STACK

Excel
Access
PowerPoint

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategy for health product lines
Oversee development and filing of premium rates with CMS and NY DOH
Manage and develop actuarial staff covering ACA, Medicare, Medicaid, and large group
Perform membership, trend, and financial analyses with Product and Finance
Onsite role based in New York; senior-level position requiring ASA and MAAA

DOMAIN EXPERTISE

Health insurance actuarial experience in managed care
Experience with premium rate development and regulatory filings (CMS, NY DOH)
Membership, trend, and financial block analyses
Knowledge of reimbursement methodologies
Supervising and developing actuarial staff

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries required
10+ years relevant professional experience required
5+ years health insurance actuarial experience in managed care required
1+ year of management experience required
Proficiency with Excel, Access and data extraction, simulations, automation required