Medicare Actuary: Bid & Forecasting Leader
EmblemHealth
EmblemHealth in New York seeks a hands-on Medicare Actuary to support pricing, forecasting, and bid development for Medicare Advantage (MA), Part D, and EGWP products. This role will support end-to-end bid season execution, Medicare forecasting, and deliver deep experience analytics to inform pricing, product strategy, and financial performance. The ideal candidate combines Medicare bid expertise, experience study rigor, and a builder mindset to improve processes, and elevate insights. #J-18808-Ljbffr EmblemHealth
- ...help us do it. As a national leader in value-based care, we offer... ...Accountable Care Organizations, and Medicare Advantage Special Needs Plans)... ...for More Than a Traditional Actuarial Role? This opportunity is... ...Medicare & Medicaid Services) bid development and HPMS (Health Plan...Suggested
- Blue Cross NC is seeking a Principal Actuary to provide advanced actuarial analysis for complex rating, pricing, valuation, and financial forecasting. You will partner with cross-functional teams across health programs and support Network Management, Underwriting, and...Suggested
- Curana Health is seeking a senior actuary to broaden impact beyond the numbers. You’ll lead CMS bid development, risk-adjustment modeling, and Part D pricing tasks while collaborating with finance, clinical, and leadership teams across a national platform. Ideal candidates...Suggested
- ...seeking a strategic, high-impact actuarial leader to serve as Vice President - Actuary, Medicare. This role provides independent... ...reserve adequacy, medical cost forecasting, and predictive modeling. The... ...technical knowledge of Medicare bidding, pricing, and risk adjustment....SuggestedRemote work
- ...this job and more exclusive features. Position Title: Senior Actuary - Medicare Strategy Location: Remote Position Overview This role... ...departments. Partner with risk adjustment teams to support revenue forecasting, coding accuracy, and performance monitoring. Provide...SuggestedFull timeWork at officeRemote work
- DLA Piper is seeking a Senior Financial Data Analyst to drive data-driven forecasting and strategic analytics across the firm’s Data Analytics group. You will lead analytics projects, mentor junior analysts, and partner with FP&A and senior leadership to deliver actionable...
$128k - $252.5k
...healthcare ecosystem. As an Actuarial Senior Consultant, you... ...on pricing, underwriting, forecasting, reserving, and value-... ...claims analytics Review Medicare Advantage and Part D bid submissions for accuracy... ...level employees to senior leaders, we believe there’s always...Work at officeLocal areaVisa sponsorship$151k - $181k
...confidence.Job DescriptionSummary:The main purpose of the Lead Capital Actuary is to lead the regulatory and rating agency capital models for... ...the CEOBuild out a real-time view of capital position and a forecasted view aligned with business plansDesign and implement a...Full timeWork at officeLocal area- Blue Cross NC is seeking an Actuarial Analyst to support rating and pricing, valuation, healthcare economics, and financial forecasting. Under general guidance, this role applies knowledge of mathematics, probability, statistics, and business principles to provide technical...
$150k - $185k
Actuary / Senior Actuary, PricingDRIVE PROFITABLE GROWTH FOR THE BUSINESSAbout At-BayAt-... ...existing Cyber and Tech E&O rate plans, rater, forecasting tools and related data sources to... ...techniques and presented the results to senior leaders from multiple disciplinesYou’ve lead...- Guy Carpenter in New York, NY, is seeking a talented actuarial professional for a hybrid role that requires three days in the office weekly. You will communicate with brokers, advise on reinsurance programs, and perform complex model-based analyses to assess risk and outcomes...Work at office
- Posted 3 days agoAccident & Health Actuary opening in NY or NJ. Perform product development/pricing, strategizing, profitability analysis, tool building, experience studies, and forecasting for Accident and Medical Indemnity Insurance; collaborate with Underwriters, IT...
$109.4k - $232k
RSC Insurance Brokerage, Inc. is seeking an experienced Actuary to develop business plans and provide comprehensive analysis for tailored reinsurance strategies. The ideal candidate should possess at least 10 years of relevant actuarial experience and be self-motivated,...- Greater New York Insurance Companies seeks a senior actuarial pricing expert to develop pricing and underwriting tools, automate ratemaking, and provide strategic recommendations for profitability. You will lead analyses for large accounts, excess and non-admitted business...Remote job
$134k - $269k
A leading professional services firm is seeking a Life Actuary for its Risk & Regulatory Consulting division. The successful candidate will engage with a team on regulatory consulting projects, providing actuarial analysis and client relationship management. Qualifications...Remote job- Munich Reinsurance America, Inc. seeks an AVP & Actuary to lead statutory reporting for Life Reinsurance in New York. You will oversee preparation of statutory reports, coordinate with Appointed Actuary, and ensure compliance with NAIC regulations and actuarial standards...
- MetLife in Bermuda seeks an AVP & Actuary - Bermuda Financial Risk to coordinate capital, ALM, credit and pricing risk across Bermuda reinsurance with senior leadership oversight. Based in Hamilton, this hybrid role requires strong actuarial expertise, 10+ years in risk...
- Blue Cross NC is seeking a Consulting Actuary specializing in ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments. You will assess advanced care models, benchmark competitors, and design and price sophisticated insurance products...
- ...and play your part in something special! We are expanding our actuarial team that supports Markel’s Programs and Solutions Division.... ...requested, providing data-driven insights and recommendations.Forecasting reserve estimates on a quarterly basisEffectively communicating...Full timeLocal areaWork from home
- A global reinsurance brokerage based in New York is seeking an AVP, Actuary to lead pricing for reinsurance contracts and support clients throughout the insurance lifecycle. The ideal candidate will have a Bachelor's degree in actuarial science or a STEM field, along with...
- Munich Re US Life’s Alternative Solutions Group seeks an experienced actuary to develop innovative longevity pricing and structured reinsurance solutions. The role focuses on pricing models, analytics, and client value propositions, with involvement in ALM, capital, and...
- Oliver Wyman, a leading actuarial consulting practice, seeks an ambitious Consulting Actuary to join the US P&C M&A team. You will contribute to due diligence, data analysis, and risk assessment across US and global transactions, working with top insurers, reinsurance firms...Remote job
- Guy Carpenter, a Marsh business, seeks a Reinsurance Actuary on the Global Analytics team. You will be an individual contributor who partners with brokers and clients to build analyses of assumptions, premiums and risk, communicating technically rigorous insights that are...
- Milliman, Inc. seeks a senior actuary to lead employer health benefits engagements, guiding plan design, financials and vendor management. You will oversee end‑to‑end marketing and vendor searches, build client relationships, and drive business development across coverage...
$191.94k
Applied Underwriters is looking for a Chief Actuary based in New York, NY, responsible for setting the strategy for the sustainability and profitability of the Managing General Underwriter. The ideal candidate needs a Bachelor's degree in Mathematics or Actuarial Science...Remote job- Auw seeks a Chief Actuary in New York, NY, responsible for setting the long-term strategy for the profitability of the Managing General Underwriter (MGU). The role requires strong expertise in developing pricing models across various commercial insurance lines. Candidates...Remote job
$148.2k - $292.3k
...across the healthcare ecosystem. As an Actuarial Manager, you will apply actuarial, strategic... ..., focused on pricing, underwriting, forecasting, reserving, and value-based care. Our... ...development From entry-level employees to senior leaders, we believe there’s always room to learn...Local areaVisa sponsorship- Liberty Mutual Insurance in North America seeks a Chief Reserving Actuary to lead the NA Reserving function and manage a large team responsible for thorough reserve analysis and robust reserves for a $20 Billion base. You will communicate results to key stakeholders and...
- Mercer is seeking a Health Actuary - Analyst III to join our New York office. You will manage health benefits client projects, develop financial projections, and collaborate with senior team members to deliver actionable insights. The role emphasizes analytical rigor and...Work at office
$400k
Actus Actuarial Search is seeking a Chief Actuary for a leading commercial insurer in the Western United States. This C-suite role directly influences company strategy, profitability, and analytical capabilities. The ideal candidate will lead a high-performing actuarial...Relocation
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