REMOTE IN U.S. MUST BE LOCATED IN THE UNITED STATES.
Direct hire opening with our client for a Senior Actuary Manager. This role will focus on Behavioral Health and Medicaid pricing. Looking for someone with 7+ years of actuarial experience in behavioral health and/or Medicaid managed care pricing and valuation as well as an ASA or FSA.
Your role is to s upport the behavioral health pricing process including engaging in advocacy with the state and its actuaries and completing all needed pricing work and trend analysis.
Responsibilities - Support the development of monthly claim reserves for behavioral health contracts.
- Complete internal and external facing actuarial reporting including communication with external stakeholders
- Provide senior management and other partners with regular and ad hoc reports which communicate current and future near- and long-term projections of financial performance of the various health product lines to facilitate corporate decision and the development of corporate strategies and goals.
- Provide an effective level of visibility into financial results to support analysis, reporting, and business outcomes.
- Ensure development of robust controls to support financial and regulatory audits.
- Provide management with actuarial valuations of the impact of any proposed benefit changes
- Assist in building out insurance risk management.
Qualification - Associate or Fellow in the Society of Actuaries
- 7+ years of relevant actuarial experience and a valuation background within the insurance industry required.
- Expertise in Behavioral health and/or Medicaid managed care pricing and support
- Comprehensive knowledge of actuarial principles, the Affordable Care Act, Medicare Advantage, and financial and regulatory reporting requirements
- Ability to navigate ambiguity to drive to outcomes, work with large datasets and distill analyses into actionable business insights
- Collaborative attitude to work in highly cross-functional organizations
Remote (Work from home) in U.S. - Senior Actuary Manager - Behavioral Health - 24-00126