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*REMOTE* Manager Actuarial Analytics, Medicare / Medicaid - $124,238 to $199,992

REMOTE, REMOTE
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.


JASON DENMARK
Recruiting Manager

INTERMEDIA GROUP, INC.
EMAIL: jdenmark@intermediagroup.com
LINKEDIN: https://www.linkedin.com/in/jasondenmark/  

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