Actuarial Manager - Medicare Advantage
virtual vocationsDenver, CO
Actuarial Manager - Medicare Advantage
L5
virtual vocationsDenver, CO4 days ago
Industries
All Other Insurance Related ActivitiesOther Management Consulting ServicesPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsLeading monthly actuarial results for Medicare value-based care programs, the remote Actuarial Manager - Medicare Advantage will reconcile payer settlements, support month-end financial reporting, and coach analysts while driving high-priority analyses without direct people-management responsibilities.
Key responsibilities:
Owns the monthly results process for ACO REACH and Medicare Shared Savings Program populations, including data intake and projections
Coordinates with actuarial and business leaders for the transition from ACO REACH to ACO LEAD and consolidates financial results for presentation to regional finance leaders
Analyzes claims estimates, leads project intake and prioritization, and collaborates with cross-functional teams to enhance actuarial processes
Required qualifications:
Bachelor's degree required
Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) designation required
6+ years of actuarial experience required; 8+ years preferred
Strong understanding of Medicare Advantage and value-based care concepts required
Proficiency in Excel, SQL, and handling large datasets, particularly medical claims, required
Apply now (opens in a new tab)
Level
SeniorL5
Location
Denver, CO
Occupation
Actuaries
Industry
All Other Insurance Related Activities
Posted
4 days ago
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