REMOTE, REMOTE · Healthcare · $124,238 to $199,992
OPEN JOB: *REMOTE* Manager Actuarial Analytics, Medicare / Medicaid LOCATION: FULL REMOTE
SALARY RANGE: $124,238 to $199,992 BENEFITS - Full BONUS ELIGIBLE - Yes
Our customer, a large national Health Plan is seeking a Manager Actuarial Analytics who will:
Lead the review of Medicaid capitation rate assumptions and methodology
Provide oversight to financial/encounter data submission in support of Medicaid capitation rate setting
Provide expertise and consultation to support the Medicare bid process and pricing strategy
Evaluate the financial performance for Medicaid/Medicare lines of business
Maintain an understanding of the changing health care trends and actuarial regulations and how they impact the organization
Remain current on government regulation and guidance as well as analytic techniques and methodologies, data sources
Build and maintain relationships with other leaders across the organization including Product, Finance, Regulatory, Pharmacy, and outside the organization (CMS, provider groups)
Coach and set priorities for direct reports
Required qualifications for this position include:
Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study
5+ years of healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development
Experience with writing queries in SQL or another programming language
Demonstrated experience applying project management skills in data-related and financial analysis projects
Preferred qualifications for this position include:
Master's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study
Fellow or Associate in the Society of Actuaries (FSA or ASA)
Experience certifying the Medicare Advantage Bid
Experience with Commercial, Medicare, and Medicaid revenue methodologies
Demonstrated experience with managing professional staff who work independently on tasks and projects
If you are interested in pursuing this opportunity, please respond back and include the following:
MS WORD Resume
required compensation.
Contact information.
Availability
Upon receipt, one of our managers will contact you to discuss the position in full detail.