Senior Actuary
Selby Jennings
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-$110,000.00 11 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. #J-18808-Ljbffr
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