Senior Manager, Actuary


USA
Permanent
Negotiable
Insurance and Actuarial Science
PR/544311_1747076431
Senior Manager, Actuary

A mission-driven, not-for-profit health organization is seeking a Senior Manager, Actuary to lead Medicare Advantage pricing and forecasting strategy. This is a high-impact leadership role within a collaborative actuarial and analytics team focused on advancing financial performance, regulatory compliance, and long-term sustainability of government programs.

Key Responsibilities:

  • Lead the development and certification of Medicare Advantage bids, including base rate setting and risk score forecasting

  • Direct forecasting, budgeting, and trend analytics for Medicare lines of business

  • Present key Medicare analyses to executive and financial leadership, translating complex data into actionable insights

  • Maintain strong working knowledge of CMS guidance and regulatory updates

  • Collaborate across departments including Finance, Product, Clinical, Regulatory, and Pharmacy to align Medicare strategy

  • Mentor and guide a team of actuarial analysts, ensuring high standards in methodology, project execution, and communication

Ideal Candidate Will Have:

  • Bachelor's degree in a quantitative field (Actuarial Science, Mathematics, Statistics, etc.)

  • 8+ years of healthcare actuarial experience, with hands-on Medicare Advantage pricing and bid development

  • Experience with risk adjustment modeling, revenue optimization, and CMS regulatory requirements

  • Strong technical background including SQL or similar programming languages

  • ASA or FSA designation preferred

  • Familiarity with Commercial and Medicaid revenue methodologies a plus

Location:
This position is fully remote, with preference for candidates based in California, Oregon, or Washington.

If interested, please send an updated resume

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