NJM Insurance Group

Lead Actuary, Medicare Advantage

NJM Insurance Group

full-time

Posted on:

Location Type: Remote

Location: New JerseyUnited States

Visit company website

Explore more

AI Apply
Apply

Salary

💰 $113,200 - $154,455 per year

Job Level

Tech Stack

About the role

  • Support actuarial pricing for the Medicare Advantage bid process and forecasting, working in conjunction with department leadership.
  • Support developing a robust suite of internal tools for the bid process, member-level and cohort-level profitability analysis, and detailed forecasting.
  • Forecasting and profitability analysis.
  • Perform other ad-hoc analyses as requested (examples include assessing the impact of Star rating changes, benefit changes, or other changes).
  • Investigate and communicate variances and drivers of forecasts to department leaders.
  • Provide strategic thinking regarding the overall business strategy, incorporating product knowledge and broad Medicare Advantage landscape market dynamics.
  • Supervise and train junior actuaries as needed.

Requirements

  • Bachelors degree, required preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university.
  • Requires 5+ years of experience in Medicare Advantage actuarial bid pricing.
  • Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) preferred.
  • Requires expert knowledge of Excel.
  • Requires advanced proficiency with SAS or SQL.
  • Requires expert knowledge of Medicare Advantage bid regulations and bid instructions.
  • Requires in depth knowledge of the Medicare Advantage industry.
Benefits
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
actuarial pricingprofitability analysisforecastingExcelSASSQL
Soft Skills
strategic thinkingcommunicationsupervisiontraining
Certifications
Associate of the Society of Actuaries (ASA)Fellow of the Society of Actuaries (FSA)