Selby Jennings ยท 3 weeks ago
Actuarial Director, Government Programs
United States
Full-time
Remote
Lead/Staff, Director/Executive
12+ years expSelby Jennings is seeking an Actuarial Director for Government Programs, responsible for shaping actuarial strategy and execution across Medicare Advantage and Medicaid lines of business. The role involves overseeing pricing, forecasting, and financial performance for a significant portfolio, while leading a high-performing actuarial team and collaborating with cross-functional teams to optimize profitability.
BankingEmploymentRecruiting
Responsibilities
Lead the development of pricing models and strategic actuarial frameworks for Medicare and state-sponsored health plans
Oversee bid submissions, premium rate filings, and financial projections in alignment with regulatory requirements and organizational goals
Serve as a strategic advisor on government program performance, collaborating with cross-functional teams to optimize profitability and member outcomes
Manage and mentor a high-performing actuarial team, fostering professional growth and succession planning
Support risk adjustment forecasting, valuation, and performance monitoring to ensure accurate revenue recognition
Partner with finance, product, and clinical teams to develop multi-year strategies and segment action plans that meet margin targets
Qualification
Required
12-15 years of actuarial experience in health insurance (both Medicare Advantage and Medicaid experience required)
FSA designation
Deep expertise in Medicare Advantage pricing, product design, and regulatory compliance
Proven ability to lead complex projects and influence enterprise strategy
Exceptional communication skills, capable of presenting complex findings to senior leadership and external stakeholders
Demonstrated leadership in team development, performance management, and succession planning
Company
Selby Jennings
Global recruitment firm specialising in Banking
1001-5000 employees
Funding
Current Stage
Late StageRecent News
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