Lead Actuarial Consultant

Job Summary

A company is looking for a Lead Actuarial Consultant-Medicare MSSP & Medicare Advantage Bid.

Key Responsibilities

• Design and execute actuarial financial analyses for MSSP ACO clients, including benchmark development and savings calculations
• Lead rate development and review engagements for Medicare clients, ensuring compliance and actuarial soundness
• Build and maintain actuarial models for medical cost projections and collaborate with data teams for enhanced analytics

Required Qualifications

• ASA designation preferred
• Minimum 6+ years of actuarial experience in healthcare, focusing on Medicare
• Strong knowledge of MSSP mechanics, benchmark methodology, and ACO financial reconciliation
• Experience with rate development for Medicare or government healthcare programs
• Proficiency in actuarial modeling tools and data analysis platforms (SAS, SQL, R, Python, or equivalent)