ACA Pricing Actuarial Manager ACA Pricing Actuarial Manager …

Selby Jennings Buyside
in Manhattan, NY, United States
Permanent, Full time
Be the first to apply
USD120000 - USD120001 per year
Selby Jennings Buyside
in Manhattan, NY, United States
Permanent, Full time
Be the first to apply
USD120000 - USD120001 per year
Selby Jennings Buyside
Summary: A leading health plan is looking to hire a seasoned Actuary to join their growing ACA Pricing team. This position will serve as the "Appointed Actuary" and work alongside executive leadership to help make key business strategy decisions.

Responsibilities of Medicare Actuary:

  • Evaluate new markets and design new and enticing products
  • Support the annual Level Funded and Stop Loss products, monthly reserve setting, and forecasting
  • Support business decision making within claims, risk adjustment, clinical, and network functions
  • Monitor the performance of health plan operations

Qualifications of Medicare Actuary:

  • 7+ years of health actuarial experience
  • FSA Designation (Fellow of the Society of Actuaries)
  • Experience with ACA Pricing, including development of the annual bid, risk adjustment, and provider reimbursement
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