Medicare Advantage Chief Actuary — Strategic Leader

Lumeris; United States; Remote; USD 250,000 - 500,000; Full time

Job summary

Lumeris in the United States is seeking a VP, Medicare Advantage Chief Actuary to lead actuarial functions for the Medicare Advantage line, setting rates, pricing, and risk-adjusted strategies that drive financial sustainability and competitive Star Ratings.

You will build and mentor a cross-functional team, oversee budget and resource planning, and partner with Risk Adjustment, Pharmacy, Health Plan Product, and Stars Strategy to provide strategic direction to executives.

Responsibilities

• Strategic Leadership & Talent Development: Guides strategic direction and develops cross-functional MA pricing and analytics teams.
• Executive Business Intelligence & Plan Performance: Aligns BI and financial reporting for executive leadership and board.
• MA Product Design & Pricing Architecture: Serves as actuarial authority for Medicare Advantage pricing and design.

Job description

Lumeris in the United States is seeking a VP, Medicare Advantage Chief Actuary to lead actuarial functions for the Medicare Advantage line, setting rates, pricing, and risk-adjusted strategies that drive financial sustainability and competitive Star Ratings.

You will build and mentor a cross-functional team, oversee budget and resource planning, and partner with Risk Adjustment, Pharmacy, Health Plan Product, and Stars Strategy to provide strategic direction to executives.