Medicare Actuarial Manager

Location: Remote, USA
Job Number: 3404

Company Highlights

  • This top ranked Healthcare Company was awarded the #2 “Best Places to Work for Women & Diverse Manager” by Diversity MBA Magazine.
  • U.S. News & World Report consistently ranks this company among the nation’s best hospitals in many specialties.
  • This company provides generous merit increases, two-week parental leave, and true work-life balance

Benefits and Features

  • Medical, Dental, prescription and vision coverage
  • Flexible spending accounts
  • Cash balance plan
  • Savings plan
  • Paid time off (PTO) and holiday pay
  • Tuition assistance for employees, their spouses, and eligible dependents
  • Annual Incentives

The Role You will Play

  • Manage other actuarial work as assigned such as CHIP filing, FEHBP filing, IBNR analysis/completion, report and analysis completion
  • Provide actuarial support and requests for the annual CMS Financial Audits; communicate with auditors when needed
  • Directly manage Medicare Bid process, including direct communication with consultants, preparing presentations, providing all requested reports and pricing, responding to desk review queries, and working with other departments to file all bids in a timely manner
  • Price, analyze, and assign annual premium increases/decreases to Medicare Employer Groups; includes communication with product development/ sales and the ability to explain pricing decisions to senior management

Community Highlights

  • The position will operate from a remote office based in the United States.
  • This company is headquartered in Pittsburgh, PA

Background Profile

  • 4 or more preliminary exams and completed FAP modules while working towards credentialing or ASA/MAAA designation
  • Bachelor’s degree in mathematics, statistics, actuarial science, economics, or related field required.
  • Six and a half (6.5+) years of experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education.
  • Experience with commercial and/or government health programs preferred.
  • In-depth understanding of health insurance market dynamics
  • Excellent problem-solving and analytical skills
  • Good oral and written communication skills
  • Data retrieval skills and relational database experience
  • Management experience preferred