acturhire
CompaniesBlog
Log in
CompaniesBlogBrowse JobsPost a JobPrivacy PolicyTerms and Conditions
© 2026 Acturhire. All rights reserved.
acturhire
CompaniesBlog
Log in
Back to Search

Role Summary

Loading...

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
acturhire
CompaniesBlog
Log in

Role Summary

Loading...

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

Similar Opportunities

EmblemHealth
2mo ago

Actuarial Analyst

EmblemHealth • New York, United States

Salary not specified
EmblemHealth
2mo ago

AVP, Actuary-Government Business

EmblemHealth • New York, United States

Salary not specified
EmblemHealth
2mo ago

Senior Staff Actuary (Large Group)

EmblemHealth • New York, United States

Salary not specified

Similar Opportunities

EmblemHealth
2mo ago

Actuarial Analyst

EmblemHealth • New York, United States

Salary not specified
EmblemHealth
2mo ago

AVP, Actuary-Government Business

EmblemHealth • New York, United States

Salary not specified
EmblemHealth
2mo ago

Senior Staff Actuary (Large Group)

EmblemHealth • New York, United States

Salary not specified

Job Overview

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

Ideal Candidate Profile

Manager-level health actuary (ASA) with 5+ years and strong Medicare/managed-care pricing and reserving experience, skilled in SQL/SAS and supervising actuarial staff.

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

Manager-level health actuary (ASA) with 5+ years and strong Medicare/managed-care pricing and reserving experience, skilled in SQL/SAS and supervising actuarial staff.

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."

Health/Insurer/Manager Level
EmblemHealth

Staff Actuary - Medicare

EmblemHealth•New York, United States•2mo ago
RemoteMedicare AdvantageMedicaidPricing & RatingReserving & Valuation