Senior Manager, Actuarial

Healthfirst; New York (NY); Hybrid; USD 119,000 - 184,000; Full time

Job summary

Healthfirst is seeking a Senior Manager, Actuarial Services, responsible for overseeing financial performance and regulatory compliance of the Medicare line. This role entails preparing annual budgets, conducting audits, and advising on regulatory changes. Candidates should possess a strong actuarial background, analytical skills, and experience in team management.

Benefits

Medical Insurance

Dental and Vision Coverage

401k Contributions

Qualifications

• Experience in the actuarial field related to Medicare.
• Ability to collect, analyze and summarize qualitative/quantitative data.
• Experience managing one or more staff.

Responsibilities

• Monitor experience under Healthfirst's Medicare line of business.
• Review and quantify regulatory/CMS proposals.
• Analyze product and segment performance.

Skills

Data Analysis

Programming

Quantitative Analysis

Project Management

Education

Bachelor’s degree in Actuarial Science, Math, Economics, Finance

Tools

SAS

SQL

Python

Job description

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The Senior Manager, Actuarial Services, is responsible for monitoring financial performance of the Medicare line of business, providing insights and financial advice in business decisions, and all other actuarial functions associated with the LOB. This includes but not limited to annual Medicare filings (bids), year-end and financial audits related to the LOB, quarterly forecasts and annual budgeting, as well as regular monthly close. This individual will also advise on the financial impact due to various changes in CMS guidance or other regulatory changes related to this LOB.

Our hybrid work schedule consists of reporting to our 100 Church Street, NYC office on a consistent basis every quarter.

Duties And Responsibilities

• Monitor experience under Healthfirst's Medicare line of business
• Provide support for annual Medicare bids for all Healthfirst's Medicare products
• Review and quantify any regulatory / CMS proposals and/or changes to the Medicare program
• Assist in other actuarial functions such as in incurred but not reported (IBNR) analysis and other ad hoc analyses
• Research, evaluate and analyze Medicare market landscape
• Analyze product and segment performance, incorporating both historical observation and insight into prospective trends. Develop business plans containing forecasts of future financial performance
• Participate in monthly close meetings, Quarterly Business Reviews, and Annual Budget with Product, and prepare and facilitate product performance discussion materials and ad-hoc analysis on the Medicare LOB
• Manage and direct staff as appropriate
  
  

Minimum Qualifications

• Bachelor’s degree in Actuarial Science, Math, Economics, Finance or any related degree
• Experience in the actuarial field related to Medicare (bid development/review, analysis, reporting, risk scores)
• Ability to collect, analyze and summarize qualitative/quantitative data
• Experience with programming/coding, preferably SAS, SQL, or Python
• Prior workexperience managing one or more staff
  
  

Preferred Qualifications

• ASA (Associate, Society of Actuaries / FSA (Fellow, Society of Actuaries)
• MAAA(Member, American Academy of Actuaries) membership
• Experience handling multiple projects simultaneously and adjusting to changes quickly while meeting deadlines
• Highly organized with experience prioritizing work demands effectively in order to complete all responsibilities
• Ability to focus on the smallest details while keeping an eye toward the "big picture"
• Proven ability to communicate professionally and courteously with all internal and external partners at all levels
• Skilled in working independently or with a team in a fast-paced environment
• Excellent judgment and discretion when faced with sensitive and/or confidential matters
  
  
  
  

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $119,900 - $183,430
• All Other Locations (within approved locations): $102,600 - $156,655
  
  

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

• The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

Seniority level

• Seniority level

  Executive

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

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