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Salary
$93k - $178k
Experience
6+ Years

Role Summary

Role type

Pricing and product performance partner

Closer to a pricing and product partner than a reserving-cycle role because the remit spans rate strategy, financial performance, and product improvement.

Senior Manager-level Health actuarial role in New York focused on Medicare pricing, reserves, rate filings, and product performance. You will work with Product Management, Finance, Risk Adjustment, and regulators while leading actuarial staff and advising direct reports.

Requirements

Must have

  • Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree
  • Associate of the Society of Actuaries (ASA) designation
  • 10+ years relevant work experience (or 6+ years actuarial with ASA, or 5+ years with FSA)
  • 5+ years health insurance actuarial experience
  • 1+ year of management experience
  • Comprehensive understanding of actuarial principles and methodologies, strong mathematical and analytical skills
  • Knowledge of reimbursement methodologies
  • Ability to develop actionable reports for senior management
  • Excellent written and oral communication skills
  • Proficiency with MS Office (Excel, Access, PowerPoint) and data extraction, simulations, automation

Nice to have

  • Member of the American Academy of Actuaries (MAAA) designation
  • Fellow of the Society of Actuaries (FSA) designation
  • Managed care industry experience

Skills & Domain

ToolsExcelAccessPowerPoint
DomainHealth insurance actuarial experience in managed carePremium rate filings with CMS and state regulatorsKnowledge of reimbursement methodologiesRisk adjustment knowledge

Job Overview

Salary
$93k - $178k
Experience
6+ Years

Ideal Candidate Profile

Ideal for an ASA-level Health actuary with at least six years of actuarial experience, five years in health insurance, and management experience. The strongest fit will combine Medicare or managed-care knowledge with pricing, regulatory filing, analytical, and communication skills.

ASA

Senior Staff Actuary - Medicare

EmblemHealth

Health/Insurer/Manager Level
EmblemHealth

Senior Staff Actuary - Medicare

EmblemHealth

New York, New York, United States · Today

Medicare Advantage

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