Lead Actuary - Medicaid Trend Quantification

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, Mar 27, 2024
This job expires in: 5 days

Job Summary

A company is looking for a Lead Actuary - Medicaid Trend Quantification.

Key Responsibilities:
  • Monitor emerging medical, pharmacy, and LTSS claims compared to forecast and revenue
  • Meet with Market Actuaries and Market CFOs monthly to review sources of emerging unfavorable trend and determine mitigation opportunities
  • Quantify and explain trends, advise on rate negotiations, and provide ROI analyses for new operational initiatives

Required Qualifications:
  • Bachelor's Degree
  • FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
  • MAAA certification
  • Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

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