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Senior Lead Medicare Actuary-8660

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Senior Lead Medicare Actuary-8660

Published: August 21, 2019
Albany, NY
Job Type
Job ID
Yrs Exp(min)
Salary (Mid)
Heather Steger
Recruiter Phone Number
800 543-2553


Looking for a Senior Leading Actuary reporting directly to the VP of this company. Highly visible role

The Actuary will lead a team of analysts in managing all responsibilities related to setting and filing CMS Bids for Medicare Direct Bill as well as setting premium rates / factors and experience rating methodologies for the Medicare Employer Group Market.

The Actuary will be responsible for providing Financial Forecasts in support of the Corporate Budgeting process related to these blocks of business as well as overseeing the development and analysis of historical revenue and claim expense experience reporting and provide necessary support to Finance partners.

The Actuary will be responsible for leading actuarial role in CMS bid audits as well as working with external auditors at year end and internal auditors for the MAR cycles.

The Actuary will be relied upon as a critical thought leader and innovator to build the tools/models and knowledge base necessary to enable to take full responsibility for the Medicare premium rate development and Bid Submission process as well as to build out actuarially sound Experience Rating formulas and rating factors for Group business.

Minimum Experience:
Minimum 7 years’ experience as an ASA/FSA working for Health Insurance Company or Health Care Consulting firm directly involved in Medicare Pricing / Bid Submissions.
Supervisory experience overseeing Medicare line of business.

Required Skills
In depth knowledge of Medicare Bid Mechanics and Pricing methodology
Strong spreadsheet and programming skills
Effective at driving change, process improvement


To apply please email: Heather Steger | 800 543-2553
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