Community Health Choice · 1 day ago

Lead Actuary, Marketplace Insurance

Houston, TX

Full-time

Remote

Senior Level, Lead/Staff

$130K/yr - $155K/yr

5+ years exp

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Hiring Manager

Sunita Saksena, CDR

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Responsibilities

Lead annual rate filing development process for ACA marketplace products.

Develop and maintain pricing models for individual market products.

Analyze market dynamics, competitor positioning, and historical experience.

Monitor and project risk adjustment transfer payments.

Partner with Product and Network teams to optimize plan designs and provider arrangements.

Ensure compliance with state and federal filing requirements.

Present pricing recommendations to senior leadership.

Coordinate with state regulators during rate review process.

Monitor emerging experience and develop quarterly forecasts.

Support organizational planning through market analysis and financial projections.

Qualification

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Actuarial ScienceAssociate of the Society of Actuaries (ASA)Medicare Advantage pricingActuarial experienceManagement ExperienceFellow of the Society of Actuaries (FSA)ExcelSQLMS SQL ServerRisk adjustment methodologiesActuarial modeling toolsBusiness acumenProblem-solving abilitiesProject managementStrategic thinkingTaking Initiative