State Licensed Chief Actuary

Job Summary

Providing strategic oversight and leadership, the full-time salaried State Licensed Chief Actuary will manage actuarial functions and pricing strategies for Medicare Advantage operations, collaborating with various departments to ensure compliance and financial sustainability while working remotely.

Key responsibilities:

• Develop and implement strategic direction for the Medicare Advantage actuarial function, including talent development and performance management
• Oversee actuarial valuation, pricing, and risk management for all healthcare plan offerings, ensuring compliance with regulatory standards
• Lead the end-to-end development and submission of annual Medicare Advantage bids, ensuring adherence to CMS guidelines and deadlines

Required qualifications:

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related quantitative field
• Fellow of the Society of Actuaries (FSA) and a Member of the American Academy of Actuaries (MAAA) in good standing
• 15+ years of health actuarial experience with at least 7-10 years in senior leadership roles focused on Medicare Advantage
• Expert understanding of CMS bid mechanics, risk adjustment models, and statutory reserving principles
• Proven ability to develop pricing strategies and collaborate across functional teams to meet regulatory deadlines