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Director, Actuarial Services-Health-8911

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Director, Actuarial Services-Health-8911

Published: June 3, 2020
Location
Boston, MA
Job Type
Category
Job ID
8911
Yrs Exp(min)
5+
Credentials
ASA
Salary (Mid)
$140,000
Bonus
10%
Recruiter
Matt Doman
Recruiter Phone Number
800 543-2553

Description

Client looking to add a Director, Actuarial Services.
Responsibilities:
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
Qualifications:
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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