Senior Medicare Actuary — Pricing & Strategy Lead

EmblemHealth; New York (NY); On-site; USD 93,000 - 178,000; Full time

Job summary

EmblemHealth in New York seeks a Senior Actuary to lead pricing and reserve strategy, coordinate the actuarial staff, and manage rate filings with regulators. The role requires extensive actuarial expertise and leadership across lines of business.

The position emphasizes collaboration with product management and finance, oversight of premium rate filings, and strong analytical skills to drive product performance. A rigorous credentials path is required.

Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, or related field.
• ASA credential required.
• MAAA preferred.
• FSA preferred.
• Health insurance actuarial experience preferred.

Responsibilities

• Analyze financial performance of blocks of business with Senior Product Management and Finance.
• Identify opportunities to improve product performance across the organization.
• Oversee development and filing of premium rates with regulators (e.g., CMS, NY Department of Health).
• Collaborate with Risk Adjustment and other areas.
• Advise and develop reports for direct reports responsible for lines of business (e.g., ACA, Large Group, Medicare, Medicaid, SSP).
• Perform other duties as assigned or required.

Skills

Actuarial expertise

Leadership

Communication

Analytics

Education

Bachelor’s degree in Actuarial Science or related field

ASA credential required

MAAA preferred

FSA preferred

Tools

MS Office (Excel, Word, PowerPoint)

Data extraction & automation

Job description

EmblemHealth in New York seeks a Senior Actuary to lead pricing and reserve strategy, coordinate the actuarial staff, and manage rate filings with regulators. The role requires extensive actuarial expertise and leadership across lines of business.

The position emphasizes collaboration with product management and finance, oversight of premium rate filings, and strong analytical skills to drive product performance. A rigorous credentials path is required.