Chief Actuary & Strategy Leader — Health Plan Pricing

Presbyterian Healthcare Services; Albuquerque (NM); On-site; USD 180,000 - 280,000; Full time

Job summary

A healthcare provider in Albuquerque is seeking a Chief Actuary responsible for overseeing actuarial services, pricing, and risk management. The ideal candidate will contribute to financial soundness, ensuring compliance and providing strategic insight to leadership. Responsibilities include leading rate negotiations, evaluating Medicaid rates, and developing actuarial talent. Strong actuarial expertise and a bachelor's degree in a related field are required. This role is pivotal in supporting both government and commercial lines of business.

Qualifications

• Experience in actuarial services and risk management.
• Strong analytical skills with a focus on Medicaid regulations.
• Proven ability to collaborate with government agencies.

Responsibilities

• Lead pricing, underwriting, and actuarial services.
• Ensure actuarial governance and compliance.
• Develop and mentor actuarial talent.

Skills

Actuarial expertise

Underwriting knowledge

Forecasting

Regulatory compliance

Strategic insight

Education

Bachelor's degree in Actuarial Science, Mathematics, or related field

Job description

A healthcare provider in Albuquerque is seeking a Chief Actuary responsible for overseeing actuarial services, pricing, and risk management. The ideal candidate will contribute to financial soundness, ensuring compliance and providing strategic insight to leadership. Responsibilities include leading rate negotiations, evaluating Medicaid rates, and developing actuarial talent. Strong actuarial expertise and a bachelor's degree in a related field are required. This role is pivotal in supporting both government and commercial lines of business.