Senior Actuary

1 day ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Position Title: Senior Actuary - Medicare Strategy

Location: Remote

Position Overview

This role provides senior-level actuarial leadership in support of Medicare product performance, pricing strategy, and regulatory compliance. The position is responsible for guiding analytical efforts across multiple business lines, with a primary focus on Medicare Advantage. It involves close collaboration with product, finance, and risk adjustment teams to ensure financial sustainability and strategic alignment. The role also includes oversight of rate filings, reserve methodologies, and team development.

Core Responsibilities

• Lead actuarial initiatives related to pricing, reserving, and financial analysis for Medicare and other government-sponsored health plans.
• Collaborate with product management and finance to assess financial performance, including membership trends, cost drivers, and profitability.
• Identify opportunities to enhance product performance through cross-functional collaboration and data-driven insights.
• Oversee the development and submission of premium rates and cost projections to regulatory bodies such as CMS and state health departments.
• Partner with risk adjustment teams to support revenue forecasting, coding accuracy, and performance monitoring.
• Provide guidance and mentorship to actuarial staff, including those responsible for specific lines of business (e.g., ACA, Medicaid, Medicare).
• Contribute to strategic planning and execution across the organization's government business portfolio.
• Deliver clear, actionable reporting and recommendations to senior leadership.
• Perform additional duties as needed to support enterprise goals.

Qualifications

Education & Credentials

• Bachelor's degree in Actuarial Science, Mathematics, Economics, or a related field.
• ASA designation required (FSA preferred).
• Member of the American Academy of Actuaries (MAAA) required.

Experience & Skills

• 10+ years of health actuarial experience
• Proven experience in Medicare Advantage or managed care environments.
• Strong understanding of actuarial principles, reimbursement methodologies, and regulatory requirements.
• Demonstrated ability to lead complex projects and manage cross-functional initiatives.
• Effective communicator with the ability to translate technical findings into strategic insights.
• Experience managing and developing actuarial talent.
• Proficiency in Microsoft Office and data analysis tools; experience with automation and simulation techniques preferred.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance

• Industries

  Claims Adjusting, Actuarial Services

Referrals increase your chances of interviewing at Selby Jennings by 2x

Get notified about new Senior Actuary jobs in United States .

United States $225,000.00-$295,000.00 4 weeks ago

United States $237,170.00-$335,000.00 5 days ago

United States $156,000.00-$190,000.00 1 week ago

Jersey City, NJ $110,000.00-$160,000.00 2 weeks ago

United States $274,000.00-$343,000.00 5 days ago

United States $166,100.00-$214,940.00 1 week ago

United States $106,900.00-$147,000.00 4 days ago

United States $106,900.00-$147,000.00 2 weeks ago

United States $80,900.00-$110,300.00 4 days ago

United States $61,500.00-$98,400.00 2 weeks ago

Associate Actuary, Professional Liability & Cyber Pricing

United States $121,000.00-$160,000.00 1 week ago

United States $110,000.00-$160,000.00 2 weeks ago

United States $115,000.00-$125,000.00 1 day ago

United States $106,900.00-$147,000.00 4 days ago

United States $106,900.00-$147,000.00 1 week ago

United States $198,800.00-$278,300.00 1 week ago

United States $90,000.00-$120,000.00 1 day ago

United States $225,000.00-$295,000.00 1 month ago

New York, NY $80,000.00-$110, months ago

United States $160,000.00-$180,000.00 5 days ago

United States $112,790.00-$177,241.00 4 weeks ago

Remote opportunity for Life Actuary - PR12979

United States $106,900.00-$147,000.00 4 days ago

United States $82,825.00-$115,453.00 1 week ago

REMOTE - Actuarial Analyst II (ACA) - R9791

United States $70,800.00-$113,200.00 5 days ago

Director, Insurance Accounting 100% Remote

New York, NY $150,000.00-$200,000.00 2 weeks ago

United States $82,825.00-$115,453.00 2 weeks ago

Actuary - Medicare Part D - Evernorth - Remote

United States $109,400.00-$182,300.00 3 weeks ago

Actuary I, Annuity Financial Reporting - Remote

United States $103,300.00-$172,200.00 1 week ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.