Staff Actuary - Medicare

REMOTE

Summary:

• Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies.
  
• Lead projects to analyze current rate structures and develop improvements and alternatives.
  
• Coordinate the actuarial staff as needed to support the activities of the affiliates.

Responsibilities:

• Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses.
  
• Identify opportunities to improve product performance in collaboration with all areas of the organization.
  
• Oversee the development and filing of premium rates for all products with the appropriate regulatory authority (e.g., CMS, New York Dep't of Health).
  
• Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs to increase Emblem's premium revenue for these segments.
  
• Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff
  
• Regular attendance is an essential function of the job. Perform other duties as assigned or required.