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Supervisor, Actuary

Manhattan, New York Actuarial Services
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Job ID R010578
Overview

Leads the actuarial aspects of Medicare Advantage bid process, ensuring accuracy, compliance and strategic alignment with organizational goals.


Compensation:

$137,800.00 - $183,800.00 Annual

What We Provide

  • Referral bonus opportunities     
  • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays   
  • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability    
  • Employer-matched retirement saving funds   
  • Personal and financial wellness programs    
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care     
  • Generous tuition reimbursement for qualifying degrees   
  • Opportunities for professional growth and career advancement    
  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities 

What You Will Do

  • Leads the development and execution of the actuarial aspects of Medicare Advantage (MA) bids, including actuarial assumptions, modeling and forecasting.
  • Collaborates with cross-functional teams to develop bid packages that align with business objectives and regulatory guidelines. Ensures accurate and compliant submissions and facilitate successful bid approvals.
  • Communicates actuarial findings, assumptions, and recommendations to internal and external MA stakeholders.
  • Analyzes and validates data relevant to bid submissions. Reconcile bid data with reported financials to ensure data integrity and accuracy.
  • Establishes actuarial frameworks and optimize processes to efficiently interpret MA data, enabling timely and accurate decision-making.
  • Provides data and analytical support to Risk Adjustment team, Care Management and other related teams to optimize revenue and manage medical expenses.
  • Tracks financial performance of MA products and monitor emerging experience and trends.
  • Collaborates closely with reserving actuaries to develop IBNR reserves for MA products.
  • Provides guidance and assistance to Accounting department in establishing accruals related to MA.
  • Collaborates with internal and external partners to identify MA growth opportunities.
  • Identifies business needs and requirement for MA vendor partnerships. Track and evaluate vendor performance and alignment with growth goals.
  • Conducts long term projection and ROI analysis for launching new products, expanding into new markets and optimizing existing portfolio.
  • Serves as a subject matter expert on actuarial matters related to MA, offering mentorship and training to junior actuarial staff.
  • Performs all duties inherent in a supervisory role. Ensures effective staff training, interviews candidates for
  • employment, evaluates staff performance, and recommends hiring, promotions, salary actions, and
  • terminations as appropriate.
  • Participates in special projects and performs other duties as assigned.

Qualifications

Licenses and Certifications:

  • Associate of the Society of Actuaries (ASA) designation preferred
  • Member of the American Academy of Actuaries (MAAA) preferred


Education:

  • Bachelor's Degree in Mathematics, Actuarial Science, Statistics or equivalent work experience required


Work Experience:

  • Minimum five years of progressively responsible actuarial experience in a Health Plan/ Managed Care organization or similar environment required
  • Minimum two years experience specially related to Medicare Advantage bidding required
  • Knowledge of core health actuarial processes including Pricing, Valuation, and Budgeting/Forecasting preferred
  • Efficiency in manipulating and analyzing large and complex data sets from multiple sources using SAS. Proficient in MS Excel spreadsheets and Visual Basic. Knowledge of Pytho preferred
  • Ability to multi-task required
  • Prior experience communicate quantitative analyses and results in a clear, precise and actionable manner preferred

About Us

VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 125 years, our commitment to health and well-being is what drives us—we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

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Organizational Structure

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Mission & Values

As a team member of VNS Health, you share a passion for improving the health of patients through best-in-class care in the home and the community.

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Inclusive Culture

At VNS Health, our priority is to create an environment where every team member feels they belong and are included.

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Total Rewards

We provide our team members a well-rounded employment experience, competitive compensation, and a robust and affordable benefits package that serves you and your family. Our Total Rewards Program at VNS Health is an investment in your health, wealth and life.

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