Manager, Actuarial Services - Medicare Advantage

Medical Mutual; Cleveland, Christiansted (OH, United States Virgin Islands); Remote; USD 80,000 - 110,000; Full time

Job summary

An established industry player in health insurance seeks a seasoned actuarial professional to lead a dynamic team. In this remote role, you will leverage your extensive experience to manage actuarial analyses, forecast trends, and ensure the appropriateness of pricing strategies. With a focus on Medicare and innovative insurance solutions, this position offers an opportunity to make a significant impact on the health and wellness of millions. Join a supportive culture that values career development and provides comprehensive benefits, making a difference in the lives of others while advancing your career.

Benefits

Remote Work Equipment

Health and Wellness Perks

Comprehensive Insurance Options

Career Development Programs

Supportive Culture

Qualifications

• 6 years of actuarial work with 3 years in a leadership role preferred.
• Prior Medicare bid submission experience preferred.

Responsibilities

• Manage and train team members.
• Propose premiums that meet company goals.
• Monitor emerging experience.

Skills

Problem Solving

Leadership

Data Analysis

Communication

Education

Bachelor's Degree in Math

Master's Degree

Tools

MS Office

SAS

VBA

SQL

Job description

Description

NOTE: This position will allow you to work remotely throughout the U.S.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision, and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders. We focus on developing products and services that better serve our customers and communities, helping our members achieve optimal health and quality of life.

Responsibilities

• Manage and train team members.
• Propose premiums that meet company goals.
• Forecast future trends.
• Review the appropriateness of rating factors by plan, area, network, etc.
• Perform ad hoc analyses as needed.
• Monitor emerging experience.
• Perform other duties as assigned.

Qualifications

Education and Experience:

• 6 years of actuarial work with 3 years in a leadership role preferred.
• Bachelor's Degree in Math, Actuarial Science, Business Administration, or related field required.
• Prior Medicare bid submission experience preferred.
• Master's Degree preferred.

Professional Certification(s):

• Associate or Fellow of the Society of Actuaries (ASA/FSA) or equivalent experience.

Technical Skills and Knowledge:

• Ability to analyze and solve complex problems.
• Proficient in MS Office, including Access; knowledge of SAS, VBA, SQL preferred.
• Experience with Medicare Advantage and/or Part D preferred.
• Ability to manage people, projects, and time effectively.
• Knowledge of enrollment, premiums, and claims within insured segments.
• Experience in pricing strategies for new products.

Additional Information

Medical Mutual offers a comprehensive benefits package, including equipment for remote work, health and wellness perks, excellent insurance options, career development programs, and a supportive culture. We maintain a drug-free workplace and conduct pre-employment testing.