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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