Opportunity: Senior Manager, Value-Based Care Medicare Advantage -FSA
Our client, a prominent consultancy practice in the healthcare and insurance sector, is seeking an experienced individual to fill the position of Senior Manager in their Actuarial Department. This role focuses on integrating actuarial skills into value-based care models specifically within Medicare Advantage programs.
Role & Responsibilities:
- Lead the development of health insurance bids, including detailed analysis and projections.
- Oversee the reserving process, ensuring forecasts and financial reporting adhere to regulatory standards.
- Develop sophisticated pricing models tailored to Medicare Advantage and other health care programs.
- Handle health insurance rate filing procedures ensuring compliance and competitive positioning in the market.
- Improve existing reserving processes and develop new strategies to enhance efficiency and accuracy.
- Guide risk adjustment analyses and medical economics studies, providing insights to optimize financial outcomes.
Key Skills:
- Proven expertise in Health Insurance Bid Development.
- Advanced knowledge in Health Insurance Reserving Forecasting and Financial Reporting.
- Strong background in Health Insurance Pricing Modelling.
- Familiarity with Health Insurance Rate Filing operations and regulations.
- Demonstrated ability to manage Health Insurance Reserving tasks.
- Insightful experience with Health Insurance Risk Adjustment processes.
- Medical economics capabilities to translate data analysis into strategic plans.
- Experience in developing and streamlining Health Insurance Reserving Process Development.
This position is permanent and offers a competitive package. Our client is eager to welcome a leader who will advance their actuarial department’s impact on the healthcare industry.
