Role Summary

HIGHLIGHTS

Senior health actuarial role focused on large group and other health lines. You will lead pricing and reserve-setting strategies, develop rate filings (CMS/NY DOH), and manage actuarial staff. This is a remote role based in New York, NY.

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategies for Large Group and other health lines
Develop and oversee premium rate filings with CMS and New York Department of Health
Manage and develop actuarial direct reports and coordinate affiliate actuarial resources
Perform membership, trend, and financial performance analyses with Product and Finance
Remote role based in New York, NY

DOMAIN EXPERTISE

health insurance actuarial experience (managed care)
developing and filing premium rates with CMS or NY Dept of Health
pricing and reserve setting strategies
knowledge of reimbursement methodologies
leading actuarial staff for one or more lines of business

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries required
10+ years of relevant professional experience
5+ years health insurance actuarial experience (managed care preferred)
1+ year of people management experience required
Bachelor's degree in Actuarial Science, Mathematics, or related field required

TECH STACK

Excel
Access
PowerPoint

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategies for Large Group and other health lines
Develop and oversee premium rate filings with CMS and New York Department of Health
Manage and develop actuarial direct reports and coordinate affiliate actuarial resources
Perform membership, trend, and financial performance analyses with Product and Finance
Remote role based in New York, NY

DOMAIN EXPERTISE

health insurance actuarial experience (managed care)
developing and filing premium rates with CMS or NY Dept of Health
pricing and reserve setting strategies
knowledge of reimbursement methodologies
leading actuarial staff for one or more lines of business

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries required
10+ years of relevant professional experience
5+ years health insurance actuarial experience (managed care preferred)
1+ year of people management experience required
Bachelor's degree in Actuarial Science, Mathematics, or related field required

TECH STACK

Excel
Access
PowerPoint

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategies for Large Group and other health lines
Develop and oversee premium rate filings with CMS and New York Department of Health
Manage and develop actuarial direct reports and coordinate affiliate actuarial resources
Perform membership, trend, and financial performance analyses with Product and Finance
Remote role based in New York, NY

DOMAIN EXPERTISE

health insurance actuarial experience (managed care)
developing and filing premium rates with CMS or NY Dept of Health
pricing and reserve setting strategies
knowledge of reimbursement methodologies
leading actuarial staff for one or more lines of business

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries required
10+ years of relevant professional experience
5+ years health insurance actuarial experience (managed care preferred)
1+ year of people management experience required
Bachelor's degree in Actuarial Science, Mathematics, or related field required