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Salary
$191k - $266k
Experience
10+ Years

This position is archived. Acturhire has detected that this position is no longer accepting applications.

Role Summary

Senior Health actuary (Sr. Director) leading risk adjustment analytics, predictive modeling, and encounter submission platforms for Commercial, Medicare Advantage, Medicaid and ACA lines. Responsible for end-to-end data, model development, regulatory submissions, and signing actuarial filings. Senior leadership role reporting to the VP of Medical Economics and Risk Adjustment. Remote role with required residence in certain Northeastern US states.

Key Requirements

  • Fellow of the Society of Actuaries (FSA) required
  • Minimum 10 years in healthcare/health insurance or insurance analytics
  • At least 7 years supervising data scientists and actuaries
  • Bachelor’s degree in math, statistics, actuarial science, or related field
  • Hands-on experience with clinical and claims data and SAS, R, and SQL

Skills & Domain

ToolsExcelPowerPoint
DomainPricing, analytics, and modeling for ACA, Medicare Advantage, and MedicaidSupervisory experience managing data scientists and actuaries (7+ years)Experience with clinical and claims data analytics and encounter submissionsExperience producing and signing actuarial forecasts, valuations, and filings

Job Overview

Salary
$191k - $266k
Experience
10+ Years

Ideal Candidate Profile

Senior FSA health actuary with deep experience in Medicare, Medicaid, and commercial risk adjustment who excels at leading analytics teams, building predictive models, and owning regulatory submissions.

FSA

Benefits

Health Insurance401(k) PlanGenerous VacationAnnual BonusWellness ProgramVolunteering Program

Sr. Director, Risk Adjustment Modeling Analytics & Submission

Horizon Blue Cross Blue Shield of New Jersey

Closed
Health/Insurer/Director Level
Horizon Blue Cross Blue Shield of New Jersey

Sr. Director, Risk Adjustment Modeling Analytics & Submission

Horizon Blue Cross Blue Shield of New Jersey

Hopewell, NJ - Remote · Remote · 8mo ago

Commercial Employer HealthMedicare AdvantageMedicaidACA Exchange
Closed

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