Health & Disability
Showing 1 to 36 of 36 job(s).
FSA, Director Medicare Advantage. Seeking a candidate to work closely with the various clinic markets managing all aspects of the forecasting, monitoring and reporting for the Medicare Advantage business. Previous experience leading people and/or projects is preferred. 7+plus years of experience. Multiple Regions.
Job Number 7471 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Axis Modeler. New or near FSA with 5-10 years to work in a consulting environment, 100% telecommute to do various projects, model development, LDTI implementation, technical support to clients. Needs to be hands on and work independently. Solid Axis skills required. Remote.
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Actuary Manager, Pharmacy. Seeking an FSA or experienced ASA to manage a team to deliver cost projections, analysis and financial modeling to identify pharmacy trend drivers. Responsible for the technical accuracy of actuarial models to build out key assumptions and support all pharmacy related cost of care utilization management and formulary changes. Extensive knowledge of health insurance products, operations and existing regulations and their legal, political, economic and environmental impact is essential. Midwest Region or Remote.
Job Number 7443 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Stop Loss / Group Health Actuary, FSA or Near-FSA. Top reinsurer seeks a Group Health Actuary to work on Employer Stop Loss. Solid data / programming skills preferred as this position will be doing detailed analysis. This is an individual contributor position. Must have a Group background (Insurance or Reinsurance). Stop Loss and experience with Oracle. SQL is preferred but not required. Eastern Region or Remote.
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Value Based Care Analyst. Our client is searching analysts to improve their analytics function for their provider-based networks. This is an excellent opportunity for Pre-ASAs interested in developing actuarial research and improvement for the organization's forecasting, trend analytics and pricing for their various market-leading healthcare products. Applicants must have 3 years of relevant actuarial experience, multiple exams passed towards the Associateship and strong technical skills. Multiple Roles. Midwest Region.
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Individual Health, Actuarial Director. Seeking a self-motivated actuarial leader to head the individual accident and health modeling and valuation team. This role has responsibility for modeling, valuation and financial reporting and analysis. The products include individual disability income, hospital indemnity, critical illness, accidental death, cancer, major medical and medicare supplement. Midwest Region.
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Health Actuary, Manager. Responsible to plan, organize, direct, control and lead the support of Capital Planning, Forecasting and Financial performance across all business units, operating within broad objectives to ensure supporting the Enterprise with analytics to optimize their competitive position in the market. FSA or experienced ASA with prior management experience preferred. Exposure to core Commercial, Group Individual experience, Medicare, Medigap or other senior health services preferred. Midwest Region.
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Disability Valuation Actuary: ASA or FSA with individual disability valuation experience needed. Prophet experience and project management skills a plus. Eastern Region.
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Lead Stop Loss Actuary. Seeking an FCAS/FSA with 10+ years of experience and several years of A&H/Stop Loss experience. Must have experience managing. Ideal candidates will possess a blend of data science skills, business acumen, strong interpersonal skills and have the ability to work autonomously. The incumbent will be the actuarial authority on A&H within this organization. Northeast & Midwest Regions.
Job Number 7405 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Health Managing Actuary, Risk Adjustment. FSA or ASA to lead actuaries and data scientists for this regional health plan's Medicare Advantage and ACA Risk Adjustment. Will partner with the actuarial department. Need experience as a managing actuary or a team lead. and risk adjustment experience. Southeast Region and Remote.
Job Number 7398 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Model Risk Leader. Our client is searching for an experienced credentialed actuary to manage model risks across their business units. This role will be responsible for evaluating all aspects of modeling from data sourcing through model output. Applicants must have 7+ years of actuarial experience with a number of years working with actuarial modeling software (AXIS preferred). Southeast Region or Remote.
Job Number 7396 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
LTC Consultant. Boutique consulting firm is looking to add an Actuary with LTC experience to their growing team. Will need to be experienced with business development. Ideal candidate will have 5-15 years of experience. Minimal travel. Southeast Region.
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Chief Actuary, Health Insurance. Our client is looking to hire a Chief Actuary and possible successor to the CFO. Will oversee Commercial, Valuation/Financial Reporting and Government Programs. Must be an experienced FSA with prior management experience. Northeast Region.
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Health Actuary Consultant. Seeking an ASA or near ASA to join the health practice of this well-known consulting firm. The health actuaries of this firm participate in the development of evidence based medicine, and the transition of payments from paying for what is done to paying for the value provided. Responsibilities include Individual and small group health care reform modeling, prepare SQL models to price health plan benefit changes, review MA and Part D bid submissions, create models to calculate ROI, prepare IBNR modeling spreadsheets and provide project management support. Must have strong communication skills (oral and written). Eastern and Midwest Regions.
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Stop Loss Actuary. Growing firm seeks an Actuary to join their team to work on Medical Stop Loss, Major Medical, Provider Excess of Loss, HMO Excess, Pet Insurance, and additional lines of business. Will be focused on policy, underwriting, pulling data together and redistributing to functional units. ASA with previous Stop Loss pricing experience is preferred. Eastern Region.
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Medicare Actuary. Will be responsible for developing and implementing premium pricing methodologies for all products and business lines and oversees all of the financial, actuarial and competitor analysis. Knowledge of Medicare bid processes and regulations. Southeast Region.
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Healthcare Senior Data Analyst. This position will conduct statistical analysis and modeling on various datasets, identifying and presenting actionable analytics and insights to all levels of management. With strong proficiency in several technical coding skillsets, this position is able to write complex, accurate code to extract data for analysis purposes with little supervision. This position also utilizes machine-learning to build models for implementation into production systems that are in line with the business’ strategic objectives and values. Ideal candidate will have experience working with Healthcare data along with strong proficiency and knowledge in SQL and Tableau. Southwest and Southeast Regions.
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Managed Care Consultant. We are working on an exciting long-term contract position with a reputable consulting firm. This actuary will be working on a very visible project, building up managed care systems from a regulatory perspective. The client is searching for a near-to-new ASA with 3-5 years of relevant healthcare experience and strong technical skills. This is an excellent opportunity to learn on the cutting-edge of healthcare! Eastern Region.
Job Number 7346 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Analyst/Senior Analyst, Healthcare. Seeking Pre-ASA-FSA candidates to work in this growing healthcare organization. The incumbent will get to work on Government programs (Medicare and/or Medicaid) and Commercial Healthcare. Responsibilities will include valuation, financial reporting, forecasting, trend analysis, IBNR, Bid work and Large Group Pricing. Possible remote. Northeast Region.
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LTC, Consultant. Seeking an ASA to New FSA level candidate to work on LTC modeling. The ideal candidate should have modeling experience, preferably in AXIS or Prophet. They will consider a strong modeler and will teach the LTC piece. This hire is due to growth. Eastern Region or Telecommute.
Job Number 7305 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Analytic Manager, Reserving team. The ideal candidate will be an ASA or FSA with 8+ years of responsible healthcare actuarial experience including at least 3 years of product line revenue-based activities. This managerial position will lead a portfolio of initiatives to support pricing, medical trend and revenue analytics for Health Plan Senior Products. It will have a staff of healthcare analysts, actuarial students and/or credentialed actuaries. This position will require mentoring and training of staff and will support recruiting and development activities. Northeast Region.
Job Number 7296 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Medicare Actuary, Manager. Will lead a portfolio of initiatives to support pricing, medical trend and revenue analytics. This position supervise a small team. Will be involved with the following: Annual development of the Part C Medicare Bids, support of the Part D Bids, Part C and Part D portfolio analysis, medical and pharmacy product management support, financial planning and projections, trend analysis, product development and geographic expansion evaluation. Must have Medicare bid exposure along with prior management experience. ASA or FSA. Northeast Region.
Job Number 7291 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
VP of Risk Adjustment: Heath care executive to be responsible for the oversight of risk adjustment and coding within the organization and plays a critical role in the development and execution of business strategy and compliance of a growing healthcare enterprise. Oversees the development, implementation and execution of compliant of Medicare Advantage and Managed Medicaid risk adjustment strategy utilizing CMS HCC and CDPS models. Must have significant experience setting strategy for Risk Assessment, Medical Coding, and designing models for effective improvement of proper documentation and coding of clinical diagnoses. Eastern Region or Telecommuting opportunity.
Job Number 7287 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
FSA, VP Group Insurance. Seeking a self-motivated individual with at least 15 years' experience with Group Insurance and related functions, including Marketing, Administration and Strategic Planning. The incumbent will ensure the profitability and growth of new sales and inforce premium of the Group Division by effectively leading and managing all functions including sales, underwriting, actuarial and administration. This position requires high level leadership, managerial and planning skills. Midwest Region.
Job Number 7266 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Med Supp, Entrepreneurial Actuary. Non-traditional company developing new and innovative products seeks an FSA with solid Medicare Supplement experience. This is a fast-paced dynamic work environment. Excellent communication skills required. Python and R programming skills preferred. Southwest Region or Telecommute.
Job Number 7260 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Senior Consulting Actuary, Health. FSA needed for Consulting Firm. Must have experience with either Healthcare Reform, ACA, Medicare Advantage, Medicaid. Prior consulting experience is ideal. Must be able to manage Projects as well as Clients. Will mentor junior actuaries, however this position will not have any direct reports. Multiple locations. Eastern, Southeast, Midwest, and Southwest Regions.
Job Number 7204 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Corporate Benefits Actuary. Will primarily work on loss reserving, data and risk management analytics. Will also contribute to the pricing and reserving functions for our client’s core product set, including International Private Medical Insurance, Group Medical, Disability, and Travel. Knowledge of SQL is highly desirable. Eastern Region.
Job Number 7186 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Commercial Health Manager. This insurer is looking for a credentialed actuary to manage and oversee their rate development process for their commercial business. In addition to the rating process, this role will also be responsible for pricing, risk adjustment and revenue forecasting. Candidates should have 6+ years of relevant experience, excellent communication skills and technical ability. Applicants with previous managerial experience is required. Southeast Region.
Job Number 6966 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Director of Health Ancillary Products. This insurer is searching for an experienced actuary to manage pricing, financial reporting, reserving and all other actuarial functions for their ancillary products. Applicants must have attained at least Associateship with the Society of Actuaries and Membership with the American Academy Actuaries, and have worked in relevant actuarial roles for 5-10 years. Candidates with strong technical expertise will be preferred. Southern Region.
Job Number 6950 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
ASA, Health Actuary. Seeking a solid health actuary to join a growing team focusing on large/small group and Medicare. Update and maintain actuarial models. 3+ years of actuarial work required. Midwest Region.
Job Number 6880 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Life and Health Manager. Our client is searching for an experienced life, LTC, and/or disability actuary to manage their national line of insurance. This is an excellent role for anyone looking to further establish leadership experience in product development, pricing, and financial reporting across diverse product offerings. ASA's or FSA's 5+ years of leadership and relevant product experience are encouraged to apply. Midwestern Region.
Job Number 6865 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
FSA, Consulting Health Actuary. Experience with developing or reviewing Medicare Advantage or Prescription Drug Plan bids. Need thorough understanding of Microsoft Excel and actuarial concepts. 7years experience. Midwest Region.
Job Number 6741 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Health Consulting, Pre-ASA / ASA. This position is responsible to conduct and review financial analyses for employer group health plans. Working on several projects at once and interacting effectively with colleagues on all levels. Manage projects' timelines for clients deliverables. Proficient use of Excel required; SQL a plus. Southeast Region.
Job Number 6659 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Actuarial Student Program, Healthcare. Seeking a student with at least 3 years of actuarial experience and a minimum of 2 exams. Duties to include working on the planning, design and implementation of Medicare projects. Experience with SAS, Excel, Access and/or PowerPoint are essential. Since this role is part of the student program there will be job rotations every 18-24 months and comprehensive support of the pursuit of the Fellowship in the Society of Actuaries. Northeast Region.
Job Number 6527 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
ASA, Health Actuary. Seeking an actuary who has technical expertise with ability to actively participate in multiple consulting projects simultaneously. Wide variety of assignments, including pricing, product design, merger & acquisition support, statutory and tax valuation and/or ORSA support. Product expertise needed in: Critical Illness, Accident and/or Hospital Indemnity with at least 4+ year’s experience. Southeast Region. Salary competitive plus bonus.
Job Number 6192 ADD TO JOB BASKET CHECKOUT With Added Job(s) Forward to Someone
Exciting Growth Opportunity for Healthcare FSA in consulting. Leading consulting firm seeks a new or near FSA for this exciting growth opportunity. Responsibilities may include Medicaid, prescription, employers, Medicare advantage, and hospitals. The ideal candidate will have 5-10 years of health care industry experience with a strong desire for personal professional growth and business development opportunities. Prior consulting experience is desired, but not necessary. Must have strong communication skills. Midwest Region. Salary: $100,000 - $150,000 plus bonus.
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