Actuarial Manager

Job Summary

A company is looking for an Actuary Manager to oversee the Medicare Advantage risk adjustment process.

Key Responsibilities

• Own end-to-end Medicare Advantage risk score accruals and the risk adjustment process
• Partner with Data teams to refine the internal HCC engine and validate its outputs
• Support budgeting and forecasting for the Care Partners segment and build actuarial models

Required Qualifications

• FSA or ASA credentials or near attainment of ASA credentials
• 5+ years of actuarial experience
• 2+ years of Medicare Advantage experience with hands-on risk adjustment
• Deep understanding of the MA HCC risk adjustment model
• Advanced knowledge of Microsoft Excel and working knowledge of SQL or modern data tools