Manager, Actuarial Services - Medicare | Hybrid NY

The Manager of 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.

Duties and Responsibilities:

• Monitor experience under Healthfirst's Medicare line of business.
• Provide support for annual Medicare bids for all Healthfirst's Medicare products.
• 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.

Required 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 work experience managing one or more staff
• Experience handling multiple projects simultaneously and adjusting to changes quickly while meeting deadlines

Preferred Qualifications:

• ASA (Associate, Society of Actuaries) membership
• MAAA (Member, American Academy of Actuaries) membership
• 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
• Highly organized with experience prioritizing work demands effectively in order to complete all responsibilities

Compliance & Regulatory Responsibilities: N/A

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst.  Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775

• All Other Locations (within approved locations): $86,500 - $128,690

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.

Salary : $86,500 - $128,690