Description
Job Id: 66107
Manager Actuarial Analytics
Our client is looking for a Manager Actuarial Analytics to join their team. This position is 100% remote for candidates residing in Washington, Oregon, or California.
Manager Actuarial Analytics Responsibilities
Lead the review of Medicaid capitation rate assumptions and methodology.
Provide oversight to financial/encounter data submission in support of Medicaid capitation rate setting.
Provide expertise and consultation to support the Medicare bid process and pricing strategy.
Evaluate the financial performance for Medicaid/Medicare lines of business.
Maintain an understanding of the changing health care trends and actuarial regulations and how they impact the organization.
Remain current on government regulation and guidance as well as analytic techniques and methodologies, data sources.
Build and maintain relationships with other leaders across the organization including Product, Finance, Regulatory, Pharmacy, and outside the organization (CMS, provider groups).
Coach and set priorities for direct reports.
Manager Actuarial Analytics Qualifications
Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study.
5+ years of 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 for this position include:
Master's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study.
Fellow or Associate in the Society of Actuaries (FSA or ASA).
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.
Salary: $124,238 to $199,992 (DOE)
Benefits
Benefits are available to eligible full-time employees and include coverage for medical, dental, vision, FSA, life insurance, short and long term disability, employee assistance plan (EAP), wellness program, parental leave, vendor/service discounts, tuition assistance, and matching 401k/retirement plans.
About VanderHouwen
VanderHouwen is an award-winning, Women-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen has been successfully placing experienced professionals throughout the Pacific Northwest and nationwide. Our recruitment teams are highly specialized in either Technology and IT, Engineering, or Accounting and Finance career markets. Our recruiters value building meaningful, professional relationships with each candidate as well as developing honed knowledge of companies' staffing needs and workplaces. Partner with us to land your next exciting career.
VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state or federal civil rights laws.
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