Managing Actuary - Medicare Rotation

GuideWell; Northern (KY); Hybrid; USD 109,000 - 178,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Life and disability insurance

Retirement savings plan with employer

Job summary

GuideWell is seeking an experienced actuary to lead Medicare pricing and risk revenue analytics, driving insights across ACA, Medicare and group lines. You will mentor actuaries and participate in rotations within cross-functional teams, influencing pricing and strategic decisions.

The role requires ASA (or FSA), a health insurance background, and strong communication, with proficiency in Excel, SAS and SQL. Remote or in-person work options available.

Qualifications

• 4+ years related, progressive professional experience in health insurance analytics.
• Bachelor's degree in Math/Statistics or related field.
• ASA or higher designation preferred; FSA desired.
• Must have health insurance analytics background and strong communication skills.
• Proficiency in Excel, SAS and SQL is required.

Responsibilities

• Lead Medicare pricing and risk revenue analytics for multiple lines (ACA, Medicare, Group, Reserves).
• Support pricing, trend analytics, gross margin reporting and financial reporting.
• Actuarial representation on cross-functional workgroups and rotations for team development.
• Mentor direct reports; manage projects and potentially people.

Education

Bachelor's degree in Math/Statistics or related field

ASA (Associate of the Society of Actuaries)

FSA (Fellow of the Society of Actuaries)

Strong communication

Tools

Excel

SAS

SQL

Job description

Job Summary:

Will be responsible for Medicare pricing and risk revenue analytics.

Essential Functions:

The essential functions listed represent the major duties of this role, additional duties may be assigned

Managing Actuaries typically manage one or more direct reports and are responsible for their team’s work, reviews, and development, as well as being responsible for producing their own work

Managing Actuaries participate in the Actuarial Rotation program which provides the opportunity to rotate to a different team every 3-4 years. Rotations can be internal (core Actuarial, such as Commercial/Medicare pricing and reserves) or external (non-Actuarial teams with Actuarial-related work, such as Segment, Value-Based Provider Analytics, Financial Performance and Analysis, Pharmacy Analytics, etc.)

Support pricing, trend analytics, gross margin reporting, and financial reporting related to ACA, Medicare, Group, Reserves, Segment, and other teams

Actuarial representation on cross-functional workgroups as an active participant

Open to remote or in-person candidates

Required Experience:

4+ years related, successful, progressive professional work experience
Math/Statistics or related Bachelor's degree required
Current and active Associate of the Society of Actuaries (ASA)
Background in health insurance field
Strong communication
Proficient in Excel, SAS, and SQL

Preferred Qualifications:

Medicare experience

Fellow of the Society of Actuaries (FSA)

Health pricing and/or reserving experience

SAS and/or SQL expertise

Experience independently managing projects and/or people

General Physical Demands:

Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

What We Offer:

As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Annualized Salary Range:

$109,300 - $177,600

Typical Annualized Hiring Range:

$130,000 - $170,000

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.