Managing Actuary

3 weeks ago

United States of America Selby Jennings Full time

Job Title: Managing Actuary - Medicare Part D

Company: Leading Blue Plan

Location: Remote from Several States

Position Overview: My client is seeking a highly skilled and experienced Actuarial Manager to lead our Medicare Part D division. As the Actuarial Manager, you will play a crucial role in providing strategic direction, overseeing actuarial analysis, and ensuring compliance with regulatory requirements within the Medicare Part D program. This position offers an exciting opportunity to drive innovation, influence business decisions, and contribute to the success of the company in serving Medicare beneficiaries.

Key Responsibilities:

  1. Strategic Leadership: Provide strategic direction and guidance for the Medicare Part D program, aligning actuarial strategies with organizational goals and objectives.
  2. Actuarial Analysis: Lead a team of actuaries in conducting complex actuarial analysis related to Medicare Part D, including pricing, reserving, forecasting, and financial modeling.
  3. Product Development: Collaborate with cross-functional teams to develop and enhance Medicare Part D products and offerings, ensuring competitiveness and alignment with market trends and regulatory requirements.
  4. Risk Management: Assess and manage the financial risks associated with Medicare Part D, including prescription drug costs, utilization trends, and regulatory changes.
  5. Compliance and Regulatory Oversight: Ensure compliance with all regulatory requirements and reporting obligations related to Medicare Part D, including CMS regulations and guidelines.
  6. Stakeholder Engagement: Build and maintain effective relationships with internal stakeholders, including senior leadership, product management, finance, and legal teams, as well as external stakeholders such as government agencies and industry partners.
  7. Thought Leadership: Stay informed about industry developments, emerging trends, and best practices in Medicare Part D and actuarial science, and provide thought leadership and strategic insights to the organization.
  8. Team Management: Recruit, develop, and mentor a high-performing actuarial team, fostering a culture of collaboration, innovation, and continuous learning.

Qualifications:

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field. Master's degree or FSA designation preferred.
  • 7+ years of actuarial experience, with a focus on Medicare Part D or related healthcare programs.
  • Strong leadership skills with a proven track record of effectively managing teams and driving results.
  • Deep understanding of Medicare Part D regulations, reimbursement methodologies, and market dynamics.
  • Excellent analytical, problem-solving, and decision-making abilities.
  • Exceptional communication and interpersonal skills, with the ability to influence and collaborate with stakeholders at all levels.
  • Commitment to upholding ethical standards and promoting a culture of integrity and compliance.

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