Senior Actuary

Selby Jennings

United States

Remote

USD 225,000 - 295,000

Full time

14 days+
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Job summary

A leading actuarial consulting firm is seeking a Senior Actuary for Medicare Strategy responsible for guiding analytical efforts within the organization. The successful candidate will lead initiatives for pricing, reserving, and financial analysis of Medicare Advantage products, working closely with product and finance teams. A Bachelor's degree in Actuarial Science along with ASA designation and over 10 years of experience in health actuarial roles is required for success in this position.

Qualifications

  • 10+ years of health actuarial experience.
  • Proven experience in Medicare Advantage or managed care.
  • Strong understanding of actuarial principles and regulatory requirements.

Responsibilities

  • Lead actuarial initiatives related to pricing and reserving.
  • Collaborate with finance to assess financial performance.
  • Oversee the development of premium rates and cost projections.

Skills

Analytical Skills
Communication
Leadership

Education

Bachelor's degree in Actuarial Science
ASA designation
Member of American Academy of Actuaries

Tools

Microsoft Office
Data analysis tools

Job description

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Position Title: Senior Actuary - Medicare Strategy

Location: Remote

Position Overview

This role provides senior-level actuarial leadership in support of Medicare product performance, pricing strategy, and regulatory compliance. The position is responsible for guiding analytical efforts across multiple business lines, with a primary focus on Medicare Advantage. It involves close collaboration with product, finance, and risk adjustment teams to ensure financial sustainability and strategic alignment. The role also includes oversight of rate filings, reserve methodologies, and team development.

Core Responsibilities

  • Lead actuarial initiatives related to pricing, reserving, and financial analysis for Medicare and other government-sponsored health plans.
  • Collaborate with product management and finance to assess financial performance, including membership trends, cost drivers, and profitability.
  • Identify opportunities to enhance product performance through cross-functional collaboration and data-driven insights.
  • Oversee the development and submission of premium rates and cost projections to regulatory bodies such as CMS and state health departments.
  • Partner with risk adjustment teams to support revenue forecasting, coding accuracy, and performance monitoring.
  • Provide guidance and mentorship to actuarial staff, including those responsible for specific lines of business (e.g., ACA, Medicaid, Medicare).
  • Contribute to strategic planning and execution across the organization's government business portfolio.
  • Deliver clear, actionable reporting and recommendations to senior leadership.
  • Perform additional duties as needed to support enterprise goals.

Qualifications

Education & Credentials

  • Bachelor's degree in Actuarial Science, Mathematics, Economics, or a related field.
  • ASA designation required (FSA preferred).
  • Member of the American Academy of Actuaries (MAAA) required.

Experience & Skills

  • 10+ years of health actuarial experience
  • Proven experience in Medicare Advantage or managed care environments.
  • Strong understanding of actuarial principles, reimbursement methodologies, and regulatory requirements.
  • Demonstrated ability to lead complex projects and manage cross-functional initiatives.
  • Effective communicator with the ability to translate technical findings into strategic insights.
  • Experience managing and developing actuarial talent.
  • Proficiency in Microsoft Office and data analysis tools; experience with automation and simulation techniques preferred.
Seniority level
  • Seniority level
    Mid-Senior level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Finance
  • Industries
    Claims Adjusting, Actuarial Services

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