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MVP Healthcare
Schenectady, New York, United States
11 days ago

Description

The Lead Medicare Market Actuary will support the Chief Actuary and lead a team of Actuaries and Analysts in managing all actuarial responsibilities related to premium rate development for the Medicare product portfolio including CMS Bid submissions, desk review and audits, product development support and strategy, evaluation of new markets, underwriting and rating methods for experience rated employer groups.The Actuary will work collaboratively with the external Actuarial consulting team responsible for certifying the Bid submission, managing data and information exchange. The Actuary will be relied upon as a critical thought leader and innovator to build and maintain the pricing tools, models and processes necessary to reduce the Actuarial budget required for Medicare Rate Setting support.

Additional responsibilities include financial forecast modeling to support the corporate budgeting process and determination of required premium deficiency reserves, Part D monthly accrual determinations, annual DIR reporting support, historical performance reporting, experience studies to support actuarial assumptions/methods and strategic decision making and other actuarial support needed for financial statements, statutory reporting and Federal MLR filings.

The Actuary must work collaboratively across the organization in all these efforts.

About MVP

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow.  We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds—tech people, numbers people, even people people—working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference—it’s time to make a healthy career move to MVP!


MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal.  We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the EEO is the Law Poster and Supplement protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com
 



Requirements

Minimum Education:

Bachelor’s Degree in Business, Math or related field.

Credentialed ASA or FSA.

Minimum Experience:
Minimum 5 years experience in relevant healthcare actuarial role
Previous supervisor role for at least 2 years

Required Skills

  • In depth knowledge Rate Setting and Benefit Pricing
  • Strong spreadsheet and programming skills
  • Self-Starter, Innovative thinker, ability to self teach
  • Strong critical thinking and problem-solving skills
  • Strong communication and interpersonal skills
  • Attention to detail and accountable
  • Effective team player
  • Effective at driving change, process improvement

Job Information

  • Job ID: 60823712
  • Location:
    Schenectady, New York, United States
    Williston, Vermont, United States
    Rochester, New York, United States
    New York, New York, United States
    Buffalo, New York, United States
  • Company Name: MVP Healthcare
  • Position Title: Lead Medicare Market Actuary - Senior Leader
  • Area of Practice: Consulting,Healthcare – Hospital/Health System, Pharma, etc.,Insurance - Health
  • Required Credentials/Exams: ASA
  • Is this job remote?: YES
  • Job Type: Full-Time
  • Min Education: BA/BS/Undergraduate
  • Min Experience: 5-7 Years

Please refer to the company's website or job descriptions to learn more about them.

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