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Director, Actuarial Services

Posted yesterday

acturhireTampa (FL)

SENIORITY

Manager

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About the role

Director-Level Role Leading Actuarial And Healthcare Analytics Director-level role leading actuarial and healthcare analytics for a health plan-focused diagnostics company. Oversees actuarial models, financial forecasts, reserving, pricing, and risk adjustment. Partners with executive leadership, finance, and product teams. Remote eligible with quarterly travel to Tampa, FL. Requires ASA, MAAA, and 5+ years in managed care.
Key Requirements: ASA designation requiredMAAA membership required 5+ years actuarial experience in health plan/managed care Expertise in healthcare pricing, reserving, or risk adjustment Proficiency in Excel/VBA, Tableau, SAS, R, or PythonSkills & DomainTools Excel Tableau Snowflake Databricks AWS Domain Health plan or managed care setting Healthcare actuarial pricing, reserving, or risk adjustment ACA regulations and CMS programs (Medicare Advantage, Medicaid) Medical coding systems (ICD-10, CPT, HCPCS, DRG)

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