Senior ACA Risk Adjustment Actuary - Remote Leadership

Acturhire; United States; Híbrido; USD 150.000 - 230.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive compensation package

Full Benefits Package

Wellness Program

Corporate Events

Descripción de la vacante

Acturhire seeks a Senior Consulting Actuary to lead client engagements in healthcare actuarial risk adjustment. You will coordinate multidisciplinary teams, develop actionable recommendations, and support growth of the firm's risk adjustment offerings.

The role focuses on ACA risk adjustment analyses, accrual development, EDGE data evaluation, and strategic guidance to health plan executives, while supervising actuarial project teams to ensure timely, high-quality deliverables.

Formación

• 7+ years of healthcare actuarial experience in Medicaid, ACA, and related risk adjustment areas.
• Proven experience leading ACA risk adjustment analytics for health plans or consulting engagements.
• Strong knowledge of the full risk adjustment lifecycle including coding, submissions, analytics.
• Ability to manage client relationships and decide actions independently.
• FSA designation and a bachelor’s degree required.

Responsabilidades

• Lead client engagements and coordinate multidisciplinary actuarial teams to deliver results.
• Develop actionable recommendations and support growth of risk adjustment offerings.
• Manage ACA risk adjustment analyses, accrual development, and EDGE data evaluation.
• Provide strategic guidance to health plan executives and ensure timely deliverables.

Conocimientos

Healthcare actuarial experience

Leading ACA risk adjustment analytics

Knowledge of risk adjustment lifecycle

Client management

Independent decision making

Educación

Bachelor's Degree

FSA designation

Descripción del empleo

Acturhire seeks a Senior Consulting Actuary to lead client engagements in healthcare actuarial risk adjustment. You will coordinate multidisciplinary teams, develop actionable recommendations, and support growth of the firm's risk adjustment offerings.

The role focuses on ACA risk adjustment analyses, accrual development, EDGE data evaluation, and strategic guidance to health plan executives, while supervising actuarial project teams to ensure timely, high-quality deliverables.