Manager, Actuarial Services - REMOTE

JOB DESCRIPTION Job Summary Leads and manages team responsible for subject matter expertise in Medicaid risk adjustment in multiple states. Activities include extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities; also supports analysis and reporting to operational and finance partners. Essential Job Duties • Reviews reporting prepared by actuarial team to assure consistency and appropriateness of methodologies used. • Collaborates with operational and finance teams to identify risks and develop solutions. • Oversees the maintenance of risk adjustment models and evaluation of results. • Designs and performs actuarial studies related to risk adjustment calculations and accuracy. • Supports ad-hoc projects related to rate adequacy, financial projections, and intervention program strategy. • Hires, onboards, trains, mentors, manages and provides technical guidance and leadership to actuarial staff. • Stays abreast of actuarial p...