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Director, Actuarial Services-Health-8911

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Director, Actuarial Services-Health-8911

Published: June 3, 2020
Boston, MA
Job Type
Job ID
Yrs Exp(min)
Salary (Mid)
Matt Doman
Recruiter Phone Number
800 543-2553


Client looking to add a Director, Actuarial Services.
Reporting to the Vice President, Actuarial Services & Medical Economics, the Director, Actuarial Services is responsible for overseeing all the Reserving and Pricing needs and as such will:
Lead analyses related to annual Medicare bid; working with external actuarial consultants
Lead analyses and negotiations with CMS and MassHealth (Medicaid) related to funding of two, dual-eligible products
Review and quantify any regulatory proposals and/or changes to the Medicare and Massachusetts Medicaid programs that impact dual-eligible members
Oversee and perform analyses related to monthly financial close
Analyze new business opportunities
Monthly financial accruals for claims expenses, Part C/D risk-based revenue, and Part D settlements
Present and discuss findings in writing and verbally to senior leaders of Finance including CFO
Direct and mentor junior actuarial students
Complete ad hoc requests for data
ASA or near ASA with sufficient experiance
Background in Medicare Advantage and/or Managed Medicaid
Working with Accounting staff to produce accurate monthly financial statements
Presenting results to senior management
2 years people management required
5+ years health insurance industry
FSA preferred

To apply please email: Matt Doman | 800 543-2553
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