Manager, Actuarial Services (VBC) - REMOTE

Lensa; Lexington (KY); Remote; USD 80,000 - 120,000; Full time

Job summary

An established industry player is seeking a Manager of Actuarial Services to support value-based contracting initiatives. This remote position involves analyzing contract opportunities, developing terms, and synthesizing data to provide insights to senior leadership. The ideal candidate will have a strong background in actuarial studies, leadership experience, and a commitment to staying updated on industry trends. Join a forward-thinking company that values innovation and offers a competitive compensation package, making a significant impact in the healthcare field.

Qualifications

• Minimum 6 years of experience in actuarial services with leadership roles.
• Must have passed at least 4 actuarial exams.

Responsibilities

• Perform analysis of historical cost baselines and oversee contract terms.
• Design actuarial studies related to medical care costs and trends.

Skills

Data Analysis

Actuarial Studies

Leadership

Contract Development

Risk Assessment

Education

Bachelor's Degree

Job description

Manager, Actuarial Services (VBC) - REMOTE

Supports value-based contracting across the organization, including analysis of contract opportunities, development of contract terms, and performance reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities, delivering insights to senior leadership.

Job Duties:

• Perform analysis of historical cost baselines.
• Oversee the development of contract terms and document assumptions.
• Design and perform actuarial studies related to medical care costs and trends.
• Support ad-hoc projects related to contract analysis, new business development, financial projections, budgeting, and acquisitions.
• Manage and provide technical guidance and leadership to Actuarial staff.
• Review reporting prepared by others to ensure methodological consistency and appropriateness. Interpret results and recommend solutions.
• Stay updated on professional developments and industry trends.

Job Qualifications:

Required Education: Bachelor's Degree

Required Experience/Skills: Minimum 6 years of experience, including leadership roles

Required Certifications: Must have passed at least 4 actuarial exams.

Preferred Certifications: ASA or near ASA

Interested candidates should apply through the intranet if currently employed at Molina Healthcare. The company offers a competitive benefits and compensation package and is an Equal Opportunity Employer (EOE) M/F/D/V.