Manager, Actuary

Role Description

The IKC Actuary Manager is responsible for the actuarial modeling and financial management of our existing Integrated Kidney Care programs related to government programs such as Medicare Advantage C-SNPs and underwriting new value-based care contracts. This teammate will manage actuarial and medical economics responsibilities including:

• Completing annual program financial reconciliations
• Forecasting of program experience
• Developing enterprise risk management capabilities
• Managing direct report(s)

Essential responsibilities include:

• Manage program financial and membership reconciliations and monitor developing program experience
• Peer review forecasts of program experience (both claims cost and CMS revenue), BNP modeling, and the monitoring of historical experience
• Evaluate drivers of program performance and communicate results to the leadership team and internal stakeholders
• Analyze CMS standard reporting files such as MMR, MOR, etc. to forecast risk adjustments and CMS revenue
• Create internal performance benchmarks and assist in actuarial process and capability development
• Serve as a subject matter expert in Medicare Advantage programs, specific to the kidney care space

Qualifications

• Bachelor’s degree in relevant field (Educational Background: Bachelor’s Degree in Math, Statistics, Biostatistics, Actuarial Science or Economics required)
• Associate of the Society of Actuaries (ASA)
• At least 6 years of relevant Medicare Advantage and actuarial experience
• Extensive actuarial modeling experience in Microsoft Excel
• Strong proficiency in Microsoft PowerPoint and other applications
• Strong track record of managing actuarial and/or medical economics analysts
• Proven experience in actuarial project management
• Excellent oral and written communication skills
• Proven complex problem-solving and critical-thinking skills

Requirements

• Technical Proficiency: SQL, advanced Excel, Alteryx
• Fellow of the Society of Actuaries (FSA)

Benefits

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling sessions, access to Headspace®, backup child and elder care, maternity/paternity leave and more
• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform Star Learning