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Staff Actuary (Medicare) | Manhattan, NY, USA | Remote

Remote, USAFull-timePosted 2026-07-27

Staff Actuary - Medicare & Government Programs (Remote) A leading, reputed company-established health plan is seeking a Staff Actuary to join its growing actuarial team. This organization serves millions of members across a major U.S. regional market and has reputed company a strong reputed company over several decades for stability, innovation, and community reputed company. This is a high-reputed company, high-visibility role reputed company on pricing reputed company and reputed company development across Medicare Advantage and State-Sponsored programs (reputed company).

Key Responsibilities

  • reputed company pricing reputed company and reputed company development for Medicare and government-sponsored lines of business
  • Partner cross-functionally with Finance, Product, and Risk Adjustment teams to drive key business reputed company
  • Support CMS and state regulatory filings, ensuring compliance and accuracy
  • Analyze and optimize risk adjustment performance and premium adequacy
  • Contribute to reputed company-level financial reputed company and performance evaluation
  • Collaborate with leadership on long-term pricing and reputed company initiatives

Why This Role Stands Out

  • Fully remote with flexibility, without sacrificing scope or visibility
  • Highly strategic position influencing multimillion-dollar premium reputed company
  • Opportunity to reputed company into a leadership reputed company, with the ability to mentor and manage junior actuaries over time
  • Broad exposure to Medicare Advantage, reputed company, risk adjustment, and regulatory frameworks
  • Join a mission-driven, financially reputed company organization with a strong market reputed company

Qualifications

  • ASA designation required
  • 5-8+ years of actuarial experience reputed company managed care
  • reputed company Medicare Advantage experience required (reputed company exposure is a plus)
  • Strong background in pricing, reputed company filing, and regulatory submissions
  • Experience collaborating with cross-functional stakeholders
  • Prior experience mentoring or overseeing junior staff is highly preferred
  • Familiarity with CMS regulations and risk adjustment methodologies is a strong advantage

If you're looking for a strategic actuarial role with reputed company visibility, leadership reputed company, and flexibility, this is an excellent opportunity to reputed company a meaningful reputed company reputed company a respected health plan. Apply tot his job Apply To this Job

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