Vice President - Actuary, Medicare
Confidential Jobs_PP
Location: Remote / (travel as needed) Reports To: Chief Financial Officer (CFO) Position Overview We are seeking a strategic, high-impact actuarial leader to serve as Vice President – Actuary, Medicare. This role provides independent oversight of Medicare and government program risk, reserve adequacy, medical cost forecasting, and predictive modeling. The VP will directly advise the CFO on emerging financial risks, long-term sustainability, and enterprise strategy. This is a high-visibility, leadership role with accountability for multi-billion-dollar revenue streams, pricing, and balance sheet reserves. The ideal candidate will combine deep technical expertise with strong business acumen, influencing key decisions across finance, product, and government programs. Key Responsibilities Lead actuarial oversight for Medicare, Medicaid, and other government programs, including pricing, reserving, and trend analysis. Assess reserve adequacy and ensure compliance with Actuarial Standards of Practice (ASOPs). Direct financial scenario modeling, stress testing, and cost forecasting, quantifying risk under multiple regulatory and market assumptions. Oversee predictive modeling for utilization, cost forecasting, high-cost claimant risk, and pricing strategy; ensure data integrity and model governance. Translate complex actuarial insights into actionable business recommendations for senior leadership and the Board. Partner with data science, analytics, and operational teams to implement and scale models effectively. Support long-range financial planning, rate filings, Value-Based Payment metrics, and reimbursement strategies. Build and mentor a high-performing actuarial team, fostering talent development and leadership succession. Candidate Profile Experience : 12–15+ years of actuarial experience in Medicare, Medicaid, or government programs. Credentials : ASA or FSA preferred. Education : Bachelor’s degree in Actuarial Science, Finance, Mathematics, Statistics, or related field; advanced degree a plus. Skills & Attributes Deep technical knowledge of Medicare bidding, pricing, and risk adjustment. Strong leadership and team-building capability. Excellent communication skills; able to translate technical findings into strategic business decisions. Proven ability to drive process improvement, governance, and operational efficiency. #J-18808-Ljbffr Confidential Jobs_PP
- A leading healthcare organization is seeking a Vice President - Actuary for Medicare. This high-impact role requires overseeing financial risks, reserving, and pricing strategies for government programs. The ideal candidate will possess 12-15+ years of actuarial experience...SuggestedRemote job
$77.76k - $149.04k
...and develop improvements and alternatives. Coordinate the actuarial staff as needed to support the activities of the affiliates.... ...segments. Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff Regular...SuggestedWork experience placementRemote workEmblemHealth
New York, NY4 days ago- Curana Health, Inc. is hiring a Health Plan Actuary to support critical financial and regulatory functions across Medicare Advantage lines. The ideal candidate will lead CMS bid development, perform risk adjustment modeling, and translate complex actuarial findings for...Suggested
- ...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...SuggestedFull timeWork at officeRemote work
$125k - $150k
Bored? Join a company where you can work on developing a Medicare reimbursement software package. A well-established and growing client has a unique opportunity for a Data Scientist or Actuary with 3+ years of application development experience and high proficiency with...Suggested- Curana Health is hiring an experienced Health Plan Actuary in Idaho to support financial and analytical functions across Medicare Advantage lines. The ideal candidate has strong actuarial expertise, preferably 5-8 years in healthcare settings. Responsibilities include...
- ...Medicine at Hofstra/Northwell Position Mission Northwell Health seeks an outstanding national visionary leader to serve as the Vice President and System Chief of Pediatric Cardiology. The System Chief will co-lead the Cohen Children's Heart Center alongside the...Immediate start
- Oliver James are pleased to be working with a leading reinsurance business seeking a seasoned Health Actuary to join their health solutions business as a leader within their financial reporting and valuation team. Within this role you will be responsible for monitoring...
- ...Medicaid programs to better serve our most vulnerable communities. Our nearly 500 specialists provide comprehensive services including actuarial and financial, clinical and behavioral health, pharmacy, policy, and more. Sr. Government Health Actuary We will count on you to:...Flexible hours
NACBA
New York, NY2 days ago - ...highly respected, specialized commercial insurer seeking a Chief Actuary to shape strategy, drive profitable growth, and elevate... ...enterprise. This is a true C-suite role reporting directly to the President, with broad influence across underwriting, claims, finance, and...RelocationRelocation package
Actus Actuarial Search
New York, NY2 days ago $191.94k
...Role Description Verist Inc. seeks Chief Actuary in New York, NY to set strategy for the long-term sustainability and profitability of the Managing General Underwriter (MGU). Requirements Bachelor’s degree or foreign equivalent in Mathematics, Actuarial Science or related...Immediate startRemote workWork from homeFlexible hoursMedium
New York, NY2 days ago$150k - $200k
...Actuary Opportunity At MSIG USA MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year...Contract workTemporary workLocal areaFlexible hoursShift workMSIG Holdings Inc
New York, NY4 days ago- ...Senior Actuary New York, New York, United States Or refer someone Job Openings Senior Actuary About the Job Senior Actuary Senior Actuary Requirements: ~3 to 8 years' experience. ~ Bachelor's degree in Quantitative Science, Actuarial Science, or Mathematics...
Boardroom Appointments
New York, NY4 days ago $73.5k - $147k
...Health Actuary - Analyst III At Mercer, we make a difference in the lives of more than 110 million people every day by advancing their health, wealth, and careers. We're in the business of creating exciting and rewarding futures for our clients and their employees — whether...Minimum wageWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week1 day per weekMarsh & McLennan
New York, NY7 days ago$112.53k - $138.2k
...Principal Actuary Life, SG-28 Occupational Category: Financial, Accounting, Auditing Salary Grade: 28 Bargaining Unit: PS&T - Professional, Scientific, and Technical (PEF) Salary Range: From $112528 to $138203 Annually Employment Type: Full-Time Appointment...Permanent employmentFull timeStateJobsNY
New York, NY2 days ago$110k - $230k
...JOB TITLE Senior Actuary EMPLOYER A-CAP Services LLC DEPARTMENT Finance REPORTS TO Chief Actuary LOCATION Onsite in New York City ABOUT THE COMPANY A-CAP is a leading provider of capital and third-party asset management solutions. Through our synergistic platform of insurance...Full timeTemporary workImmediate startWork visaMonday to FridayA-CAP
New York, NY1 day ago- ...Consulting Actuary - Mergers And Acquisitions Remote type: Hybrid/Remote Locations: Flexible, but preferably in Northeast US/Canada (e.g., New York, Montreal) Time type: Full time Oliver Wyman is seeking an ambitious actuary to join the US P&C Practice. We...Full timeRemote workFlexible hoursShift work
Mercer France
New York, NY9 days ago - ...believe that when we realize our potential, we can help others reach theirs. The primary purpose of this role is to lead advanced actuarial analyses in support of pricing and reserving decisions across Professional Lines. This includes applying established actuarial...Full timeWork experience placementLocal areaWork from home
Markel
New York, NY3 days ago $140k - $175k
...Actuary - US Programs At AIG, we are reimagining the way we help customers to manage risk. Join us as an Actuary - US Programs to take on key responsibilities within a world-class actuarial function. Make your mark in the Actuarial Team As an actuary at...Work at officeShift workAmerican International Group
New York, NY11 days ago$165k - $218k
...growth. Join us in advancing MetLife’s legacy of trust through exemplary risk management practices. The Opportunity The AVP and Actuary is responsible for owning the Insurance Risk Economic Capital (EC) framework and overseeing actuarial assumptions, with...Temporary workWork at officeLocal areaShift work3 days per weekMetLife
New York, NY2 days ago$160k - $230k
...Learn more about our unique culture and history. Job Opportunity: BHSI has an exciting opportunity for a fully qualified Actuary to join our US Executive and Professional lines pricing team in either our New York City or Atlanta office. We are looking for an individual...Temporary workWork at officeFlexible hoursBerkshire Hathaway Specialty Insurance
New York, NY1 day ago$127.51k - $160.91k
...Actuary Position The New York Department of Financial Services seeks to build an equitable, more transparent and resilient financial system that benefits New Yorkers and supports business. Through engagement, data-driven regulation, and operational excellence, DFS is...Permanent employmentWork at officeStateJobsNY
New York, NY4 days ago- ...reinsurance agreements, covering aspects such as pricing, administration, and management of relationships. Develop and refine actuarial models and frameworks to aid in product and capital-related decision-making processes. Set pricing assumptions and assess...Work at office
Phaxis
New York, NY5 days ago - ...Associate Vice President & Actuary, IL Reinsurance & Pricing About the Company One of the world’s leading providers of re/insurance. Industry Insurance Type Privately Held About the Role The Company is in search of an Associate Vice President and...
$120k - $150k
...Actuary - Risk Management At AIG, we are reimagining the way we help customers to manage risk. Join us as a Actuary - Risk Management to take on key responsibilities within a world-class actuarial function. Make your mark in Actuarial Our Actuaries are on the...Local areaAIG
Jersey City, NJ1 day ago$120k - $150k
...Actuary - Risk Management At AIG, we are reimagining the way we help customers to manage risk. Join us as a Actuary - Risk Management to take on key responsibilities within a world-class actuarial function. Make your mark in Actuarial Our Actuaries are on...Work at officeLocal areaAmerican International Group
New York, NY9 days ago- ...Associate Vice President, Actuary, Financial Reporting & Valuations About the Company Global reinsurance leader with a health-focused portfolio and collaborative global environment. Industry Insurance Type Privately Held About the Role The Company...
- ...Associate Vice President, Actuary About the Company Well-known reinsurance client Industry Insurance Type Privately Held About the Role The Company is in search of an Associate Vice President, Actuary to join their team. The successful candidate...Contract work
$125k - $150k
DW Simpson Global Actuarial & Analytics Recruitment is looking for a Data Scientist or Actuary in New York to work on a Medicare reimbursement software package. The ideal candidate will have 3+ years of application development experience and be highly proficient in .NET...- ...Magazine, Diversity Inc. and others. If you're as passionate about your future as we are, join our team. KPMG is currently seeking an Actuarial Life Senior Associate to join our Audit practice. Responsibilities: * Provide specialized technical support to the actuarial...Local area
KPMG
New York, NY1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Vice President - Actuary, Medicare. Be the first to apply!
- vp biotech New York, NY
- vp creative services New York, NY
- assistant vice president sales New York, NY
- vice president creative services New York, NY
- vice president hotel operations New York, NY
- vice president manufacturing operations New York, NY
- vice president business development New York, NY
- senior vice president of operations New York, NY
- senior vice president human resources New York, NY
- vp cloud New York, NY