Job Details

A company is looking for a Lead Actuarial Consultant-Medicare MSSP & Medicare Advantage Bid.Key ResponsibilitiesDesign and execute actuarial financial analyses for MSSP ACO clients, including benchmark development and savings calculationsLead rate development and review engagements for Medicare clients, ensuring compliance and actuarial soundnessBuild and maintain actuarial models for medical cost projections and collaborate with data teams for enhanced analyticsRequired QualificationsASA designation preferredMinimum 6+ years of actuarial experience in healthcare, focusing on MedicareStrong knowledge of MSSP mechanics, benchmark methodology, and ACO financial reconciliationExperience with rate development for Medicare or government healthcare programsProficiency in actuarial modeling tools and data analysis platforms (SAS, SQL, R, Python, or equivalent)