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Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on Medicare and state-sponsored programs (Medicaid) based in New York (remote). You will lead pricing and reserve-setting strategy, oversee rate filings with regulators, and supervise a small actuarial team. The role requires an ASA and 5+ years of relevant actuarial experience in managed care.

JOB DESCRIPTION SUMMARY

  • Lead pricing and reserve-setting strategy for Medicare and State Sponsored products
  • Develop and oversee premium rate filings with CMS and NY Department of Health
  • Supervise and develop actuarial staff supporting Medicare and state programs
  • Collaborate with Product, Finance, and Risk Adjustment to optimize performance
  • Remote role; strong data querying and automation skills required (SQL/SAS)

DOMAIN EXPERTISE

  • Medicare pricing and rate filings
  • State-sponsored (Medicaid) actuarial experience
  • Health insurance reserving and pricing
  • Risk adjustment program optimization

KEY REQUIREMENTS

  • ASA designation required
  • Bachelor's degree required
  • 5+ years relevant professional experience (4+ in health insurance actuarial)
  • Expert-level database and spreadsheet skills; data extraction and simulations
  • Experience with SQL or SAS Enterprise Guide preferred

TECH STACK

  • Excel
  • Access
  • PowerPoint
  • SAS_Enterprise_Guide
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial role focused on Medicare and state-sponsored programs (Medicaid) based in New York (remote). You will lead pricing and reserve-setting strategy, oversee rate filings with regulators, and supervise a small actuarial team. The role requires an ASA and 5+ years of relevant actuarial experience in managed care.

JOB DESCRIPTION SUMMARY

  • Lead pricing and reserve-setting strategy for Medicare and State Sponsored products
  • Develop and oversee premium rate filings with CMS and NY Department of Health
  • Supervise and develop actuarial staff supporting Medicare and state programs
  • Collaborate with Product, Finance, and Risk Adjustment to optimize performance
  • Remote role; strong data querying and automation skills required (SQL/SAS)

DOMAIN EXPERTISE

  • Medicare pricing and rate filings
  • State-sponsored (Medicaid) actuarial experience
  • Health insurance reserving and pricing
  • Risk adjustment program optimization

KEY REQUIREMENTS

  • ASA designation required
  • Bachelor's degree required
  • 5+ years relevant professional experience (4+ in health insurance actuarial)
  • Expert-level database and spreadsheet skills; data extraction and simulations
  • Experience with SQL or SAS Enterprise Guide preferred

TECH STACK

  • Excel
  • Access
  • PowerPoint
  • SAS_Enterprise_Guide

Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A senior health actuary (ASA) with 5+ years in managed care, strong Medicare and Medicaid pricing/filing experience, leadership skills, and hands-on SQL/SAS data expertise.

ASA

Benefits

Shortlist Forming
Closing Soon
67d
67 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A senior health actuary (ASA) with 5+ years in managed care, strong Medicare and Medicaid pricing/filing experience, leadership skills, and hands-on SQL/SAS data expertise.

ASA

Benefits

Shortlist Forming
Closing Soon
67d
67 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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