Actuary – Medicare Adv. – Health – Remote – 9821

Actuary - Medicare Adv. - Health - Remote - 9821

Published: April 11, 2023
Remote, Any
Job Type
Job ID
Yrs Exp(min)
Salary (Mid)
Tony Biondo
Recruiter Phone Number


The Actuary is expected to hold Actuarial finance responsibilities, including forecasting cash flow and capital requirements, influence reinsurance strategies, monitor financial trends in the industry, and interact with external stakeholders (regulators, investors, etc.) as necessary to communicate actual and projected performance. The Actuary will also support or take responsibility for additional actuarial processes including regulatory financial pro forma projections, supporting the annual Medicare Advantage and Part D bids, forecasting, and a variety of ad hoc analyses to support business decision making. The ideal candidate will possess an intellectual curiosity and passion to move the business forward through insightful analyses.

Required Qualifications
§ Bachelor’s Degree in Actuarial Science, Economics, Mathematics or other related field
§ Seven (7) years of relevant actuarial experience in Medicare Advantage.
§ Associate or Fellow of the Society of Actuaries, and Member of the American Academy of Actuaries required.
§ Experience in Medicare Advantage is required, including understanding of the annual bid, risk adjustment, and provider reimbursement.
§ Proficiency in all aspects of statutory health care actuarial practice including pricing, reserving, and data reporting.
§ Experience in actuarial valuation, specifically in health plan corporate finance and reserve setting.
§ Broad understanding of managed care business and financial principles such as capital management, underwriting, medical management, physician reimbursement, and risk management.
§ Proven capabilities in modeling, forecasting, and predictive analytics
§ Strong communication and presentation skills; written/verbal proficiency.
§ Must be analytical, hands on, and able to be a contributor on day one.
§ Strong actuarial functional expertise with an understanding of the key financial drivers of Medicare Advantage health plan operations.
§ Strategic ability to understand the business at large and connect points across mathematical and financial relationships across the organization.
§ Ability to operate in an ambiguous start-up environment where every day we try to develop and optimize our operations.
§ Maintain high ethical standards at all times, to include maintaining the confidentiality of financial and other sensitive information consistent with moral, professional, and regulatory requirements.

To apply please email: Tony Biondo | 331-307-7398
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