Senior Manager Actuarial Analytics

Veracity Solutions

$120K — $145K *
US-AnywhereRemote in California, US
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science, or a related field.
  • 5 years of healthcare actuarial experience, specifically with Medicare Advantage pricing and bid development.
  • Proficiency in writing SQL queries or using another programming language.
  • Demonstrated project management skills in data-related and financial analysis projects.

Responsibilities

  • Direct commercial pricing, rate setting, and rate filing activities.
  • Produce forecasts, budgets, and risk estimates related to payment adjustments.
  • Conduct monthly Line of Business analysis, presenting findings to senior leaders.
  • Collaborate effectively with various departments to achieve business goals.
  • Stay updated on health care and actuarial trends and their organizational impacts.
  • Foster relationships with leaders across the organization and with external entities.
  • Mentor and develop team members in analytic methodologies and project management.

Benefits

  • Remote work flexibility, with candidates residing only in WA, OR, or CA.
  • Potential relocation assistance for well-qualified candidates.
  • Opportunity for professional development and mentorship within the actuarial department.
Full Job Description
Senior Manager Actuarial Analytics *Remote*

Location: Job is fully remote, no location specified

Position works remotely, but must reside in WA, OR or CA for payroll purposes

Senior Manager Actuarial Analytics *Remote* Candidates residing in Washington, Oregon or California. Relocation to one of these states may be available to well qualified applicants.

The Senior Manager Actuarial Analytics is responsible for producing pricing, forecasting, and reserving deliverables. This requires coaching and priority setting for direct reports as well as collaboration across multiple departments to achieve organizational objectives.

The Senior Manager Actuarial Analytics functions as a technical resource and as a mentor to all within the Actuarial department. The Senior Manager must maintain an understanding of the changing health care and actuarial trends and how they impact the organization. This role must remain current on government regulation and guidance as well as analytic techniques and methodologies, data sources.
  • Direct Commercial pricing, rate setting and rate filing, forecasting, budgeting, and estimating risk adjustment and risk transfer payment amounts.
  • Responsible for monthly Line of Business analysis and ability to present key analyses with appropriate level of detail for senior leaders.
  • Collaborate across multiple departments to achieve organizational objectives
  • Maintain an understanding of the changing health care and actuarial trends and how they impact the work of pricing and valuation
  • Build and maintain relationships with other leaders across the organization including Product, Finance, Underwriting, Regulatory, Pharmacy, and outside the organization (CMS, provider groups)
  • Develops staff and team members in areas of analytic methods and tools, effective communication, project, and time management

Required Qualifications:
  • Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science or a related field.
  • 5 years healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development.
  • Experience with writing queries in SQL or another programming language
  • Demonstrated experience applying project management skills in data-related and financial analysis projects.

Preferred Qualifications:
  • Master's Degree in Statistics, Computer Science, Mathematics, Social Science or a related field.
  • Upon hire: Fellow or Associate in the Society of Actuaries (FSA or ASA)
  • Experience certifying Commercial Rate Filing
  • Experience certifying the Medicare Advantage Bid
  • Experience with Commercial, Medicare, and Medicaid revenue methodologies.
  • Demonstrated experience with managing professional staff who work independently on tasks and projects.

Skills and Certifications

Experience with writing queries in SQL or another programming language

Demonstrated experience applying project management skills in data-related and financial analysis

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