virtual vocationsDenver, CO
Actuarial Manager, Medicare
To support a growing actuarial team, the full-time Actuarial Manager, Medicare will own the monthly results process for ACO REACH/LEAD and MSSP populations, manage payer settlement reconciliations, and lead high-priority analyses, all while working remotely.
Key responsibilities:
Own the end-to-end monthly results process, including data coordination and claims reserving for value-based programs
Review and reconcile payer settlement calculations against contract terms, identifying discrepancies to support annual savings targets
Lead special projects and coach analysts, enhancing team capacity and quality of work through mentorship and technical direction
Required qualifications:
6+ years of actuarial experience, with 8+ years preferred
ASA or FSA designation and a Bachelor's degree
Strong understanding of Medicare Advantage and Value-Based Care concepts
Experience with reserving and forecasting, and ability to lead work in these areas
Proficiency in Excel and SQL, with experience applying AI tools to actuarial work preferred
Also on the board Same function, level within a rung
Level
Senior
Location
Denver, CO
Occupation
Actuaries
Industry
All Other Insurance Related Activities
Posted
yesterday