Summary
The Director, Actuarial Services will be a client-facing role that focus's on Medicare Advantage and Medical Economics. This position supports bid development and submission, premium rate analyses, medical economics, provider contract analyses, reserve calculations, and will manage a staff of actuarial analysts.
Responsibilities
- Identify and communicate opportunities to improve claims experience and financial performance through medical economics and experience analyses
- Lead actuarial analysis and services in support of medical analysis, trend projections, and rate negotiations
- Assist with and participating in negotiations and presentations where appropriate
- Lead multiple projects involving development of Medicare Advantage and multiple Part D bids
- Assist in annual reserve calculations and financial statement filings, and be able to explain to clients
Qualifications
- ASA or FSA
- Experience with Medicare Advantage bid preparations/desk review required
- Minimum 5 years of health care experience