Role Summary

HIGHLIGHTS

Senior health actuarial role focused on Medicare and state‑sponsored products. You will lead pricing and reserve-setting strategies, oversee premium rate development and regulatory filings (CMS/NY DOH), and supervise actuarial staff. Remote role based in New York, NY.

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategies for Medicare and state-sponsored products
Oversee premium rate development and regulatory filings (CMS, NY DOH)
Supervise and develop actuarial staff covering Medicare and State Sponsored areas
Work with Product Management, Finance, and Risk Adjustment to improve product performance
Fully remote role; based in New York, NY

DOMAIN EXPERTISE

managed care health insurance actuarial experience
Medicare premium rate development and filings (CMS, NY DOH)
reserve setting and reserving strategies
risk adjustment program optimization
data querying using SQL or SAS Enterprise Guide

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) required
5+ years relevant professional experience (posting lists 5–8+ years)
4+ years health insurance actuarial experience, preferably managed care
Bachelor’s degree in actuarial science, math, or related required
Expert skills with databases/spreadsheets and analytical software; SQL/SAS preferred

TECH STACK

Excel
Access
PowerPoint
SAS_Enterprise_Guide

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategies for Medicare and state-sponsored products
Oversee premium rate development and regulatory filings (CMS, NY DOH)
Supervise and develop actuarial staff covering Medicare and State Sponsored areas
Work with Product Management, Finance, and Risk Adjustment to improve product performance
Fully remote role; based in New York, NY

DOMAIN EXPERTISE

managed care health insurance actuarial experience
Medicare premium rate development and filings (CMS, NY DOH)
reserve setting and reserving strategies
risk adjustment program optimization
data querying using SQL or SAS Enterprise Guide

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) required
5+ years relevant professional experience (posting lists 5–8+ years)
4+ years health insurance actuarial experience, preferably managed care
Bachelor’s degree in actuarial science, math, or related required
Expert skills with databases/spreadsheets and analytical software; SQL/SAS preferred

TECH STACK

Excel
Access
PowerPoint
SAS_Enterprise_Guide

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead pricing and reserve-setting strategies for Medicare and state-sponsored products
Oversee premium rate development and regulatory filings (CMS, NY DOH)
Supervise and develop actuarial staff covering Medicare and State Sponsored areas
Work with Product Management, Finance, and Risk Adjustment to improve product performance
Fully remote role; based in New York, NY

DOMAIN EXPERTISE

managed care health insurance actuarial experience
Medicare premium rate development and filings (CMS, NY DOH)
reserve setting and reserving strategies
risk adjustment program optimization
data querying using SQL or SAS Enterprise Guide

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) required
5+ years relevant professional experience (posting lists 5–8+ years)
4+ years health insurance actuarial experience, preferably managed care
Bachelor’s degree in actuarial science, math, or related required
Expert skills with databases/spreadsheets and analytical software; SQL/SAS preferred