Role Summary

HIGHLIGHTS

Senior health actuarial role focused on large group pricing and reserve strategy in New York. You will lead projects to analyze rate structures, develop premium filings with regulators (CMS, NY DOH), and oversee actuarial staff. Requires strong analytics, reimbursement knowledge, and management experience.

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategy for large group and related health lines
Develop and oversee premium rate filings with regulators (CMS, NY DOH)
Manage and develop actuarial staff supporting ACA, Large Group, Medicare, Medicaid
Perform financial, membership and trend analyses with Product and Finance
Proficiency with Excel, Access, data extraction, simulations and automation

DOMAIN EXPERTISE

health insurance actuarial experience in managed care
development and filing of premium rates with CMS/NY Department of Health
pricing and reserve setting for health blocks of business
financial, membership and trend analyses for product performance

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) and American Academy membership required
Bachelor's degree in Actuarial Science, Math, or related field required
10+ years relevant experience and 5+ years health insurance actuarial experience required
1+ year management experience required; lead actuarial staff and projects
Proficiency with MS Office (Excel, Access, Word, PowerPoint) and data extraction

TECH STACK

Excel
Access
PowerPoint

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategy for large group and related health lines
Develop and oversee premium rate filings with regulators (CMS, NY DOH)
Manage and develop actuarial staff supporting ACA, Large Group, Medicare, Medicaid
Perform financial, membership and trend analyses with Product and Finance
Proficiency with Excel, Access, data extraction, simulations and automation

DOMAIN EXPERTISE

health insurance actuarial experience in managed care
development and filing of premium rates with CMS/NY Department of Health
pricing and reserve setting for health blocks of business
financial, membership and trend analyses for product performance

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) and American Academy membership required
Bachelor's degree in Actuarial Science, Math, or related field required
10+ years relevant experience and 5+ years health insurance actuarial experience required
1+ year management experience required; lead actuarial staff and projects
Proficiency with MS Office (Excel, Access, Word, PowerPoint) and data extraction

TECH STACK

Excel
Access
PowerPoint

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategy for large group and related health lines
Develop and oversee premium rate filings with regulators (CMS, NY DOH)
Manage and develop actuarial staff supporting ACA, Large Group, Medicare, Medicaid
Perform financial, membership and trend analyses with Product and Finance
Proficiency with Excel, Access, data extraction, simulations and automation

DOMAIN EXPERTISE

health insurance actuarial experience in managed care
development and filing of premium rates with CMS/NY Department of Health
pricing and reserve setting for health blocks of business
financial, membership and trend analyses for product performance

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) and American Academy membership required
Bachelor's degree in Actuarial Science, Math, or related field required
10+ years relevant experience and 5+ years health insurance actuarial experience required
1+ year management experience required; lead actuarial staff and projects
Proficiency with MS Office (Excel, Access, Word, PowerPoint) and data extraction