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Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on Medicare pricing and bid work in New York, NY. You will own actuarial components of Medicare Advantage, Part D, and EGWP bids, deliver forecasting and experience analytics, and partner with business leaders to inform pricing and financial performance. Requires an ASA and substantial managed care actuarial experience.

JOB DESCRIPTION SUMMARY

  • Own actuarial components of Medicare Advantage, Part D, and EGWP bids
  • Deliver regular Medicare forecasting with drivers, risks, and variances
  • Perform experience analytics and refine trend and risk score assumptions
  • Collaborate with business leaders and cross-functional teams
  • Based in New York, NY (onsite/hybrid not specified)

DOMAIN EXPERTISE

  • Medicare Advantage and Part D bid pricing
  • Medicare forecasting and bid development
  • Managed care health insurance actuarial experience
  • Experience studies and assumption setting
  • Data extraction, simulations, and automation

KEY REQUIREMENTS

  • Associate of the Society of Actuaries (ASA) required
  • 5+ years relevant professional experience (5–8+ years stated)
  • 4+ years health insurance actuarial experience in managed care required
  • Bachelor’s degree in Actuarial Science, Math, or related required
  • Expert skills with databases/spreadsheets and capable of data extraction and automation

TECH STACK

  • Excel
  • Access
  • PowerPoint
  • SAS_Enterprise_Guide
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial role focused on Medicare pricing and bid work in New York, NY. You will own actuarial components of Medicare Advantage, Part D, and EGWP bids, deliver forecasting and experience analytics, and partner with business leaders to inform pricing and financial performance. Requires an ASA and substantial managed care actuarial experience.

JOB DESCRIPTION SUMMARY

  • Own actuarial components of Medicare Advantage, Part D, and EGWP bids
  • Deliver regular Medicare forecasting with drivers, risks, and variances
  • Perform experience analytics and refine trend and risk score assumptions
  • Collaborate with business leaders and cross-functional teams
  • Based in New York, NY (onsite/hybrid not specified)

DOMAIN EXPERTISE

  • Medicare Advantage and Part D bid pricing
  • Medicare forecasting and bid development
  • Managed care health insurance actuarial experience
  • Experience studies and assumption setting
  • Data extraction, simulations, and automation

KEY REQUIREMENTS

  • Associate of the Society of Actuaries (ASA) required
  • 5+ years relevant professional experience (5–8+ years stated)
  • 4+ years health insurance actuarial experience in managed care required
  • Bachelor’s degree in Actuarial Science, Math, or related required
  • Expert skills with databases/spreadsheets and capable of data extraction and automation

TECH STACK

  • Excel
  • Access
  • PowerPoint
  • SAS_Enterprise_Guide

Staff Actuary - Medicare - Health Insurance

EmblemHealth

Health/Insurer/IC Level
EmblemHealth

Staff Actuary - Medicare - Health Insurance

EmblemHealth
New York, New York, United States•3mo ago
Medicare AdvantageMedicare Part DHealth Other

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Job Overview

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

Acturhire Base Salary Estimate

Typical range
$112k - $143k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for a senior health actuary (ASA) with 5–8+ years in managed care Medicare pricing and bid work who is strong in forecasting, experience analytics, and SQL/SAS-driven data automation.

ASA

Benefits

Shortlist Forming
Closing Soon
93d
93 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

Acturhire Base Salary Estimate

Typical range
$112k - $143k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for a senior health actuary (ASA) with 5–8+ years in managed care Medicare pricing and bid work who is strong in forecasting, experience analytics, and SQL/SAS-driven data automation.

ASA

Benefits

Shortlist Forming
Closing Soon
93d
93 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."