Senior Lead Medicare Actuary-8660
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 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.
In depth knowledge of Medicare Bid Mechanics and Pricing methodology
Strong spreadsheet and programming skills
Effective at driving change, process improvement