OverviewVNS Health Medicare Advantage experiences accelerated year-over-year growth, doubling membership in the last 12 months. We continue to strengthen our Medicare presence in New York City while actively expanding into key upstate regions. The record-breaking growth enables us to offer unique opportunities for rapid career growth, including innovative problem solving for emerging markets and experience, challenging projects that push boundaries and decision making that drives results. As the Manager, Actuary for Medicare Advantage (MA), you will play a pivotal role in leading the actuarial aspects of the MA bid process. You will drive to team to precision, compliance, and strategic alignment with organizational goals throughout the development and execution of MA bids. Collaborating closely with cross-functional teams, you will drive the formulation of bid packages that meet business objectives and adhere to regulatory standards, ensuring accurate and compliant submissions for successful bid approvals. This position could be fully remote. Compensation Range:$137,800.00 - $183,800.00 Annual What We Provide + Referral bonus opportunities + Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays + Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability + Employer-matched retirement saving funds + Personal and financial wellness programs  + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care   + Generous tuition reimbursement for qualifying degrees + Opportunities for professional growth and career advancement  + Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities  What You Will Do + Manages monthly IBNR development and other liabilities valuations. + Reconciles claims data with general ledger for identifying and explaining discrepancies. + Automates and improves the valuation models and processes. + Communicates reserving recommendations and P&L impacts to senior management. + Leads key quantitative and qualitative analyses inclusive of cost and utilization tracking, rate build-up, MLR reporting, and member cohort analyses. + Provides financial and medical economics data support for care and utilization management, new product launches, IPA arrangements, vendor contracting, budget planning and Medicare bid. + Maintains and updates the risk adjustment models used for developing risk adjustment accruals, reconciling risk scores, identifying data reporting gaps and projecting risk scores for Medicare bid. + Supports annual Medicare bid including data collection and cleansing, trend development, financial reconciliation and pharmacy related analyses. + Serves as actuarial project lead for all regulatory entities – Centers for Medicare and Medicaid Services (CMS), National Association of Insurance Commissioners (NAIC), Department of Health (DOH), rate reviewers, auditors, etc. + Oversees the collection and preparation of materials to be used as references in audit related activities. + Liaises with internal departments to create strong lines of communication in all areas that impact actuarial functions. + Performs all duties inherent in a managerial role. + Ensures effective staff training, interviews candidates for employment, evaluates staff performance and conducts annual performance appraisal, and recommends hiring, promotions, salary actions, and terminations, as appropriate. Qualifications Licenses and Certifications: + Associate of the Society of Actuaries (ASA) designation preferred Education: + Bachelor's Degree in Mathematics, Actuarial Science, Statistics, Biostatistics, or related discipline required Work Experience: + Minimum of six years of progressively responsible actuarial experience in a Health Plan/ Managed Care organization or similar environment at least some of which in a supervisory role, Medicare and Medicaid background preferred + Expert knowledge of Actuarial Standards of Practice (ASoPs), Centers for Medicare and Medicaid Services (CMS), National Association of Insurance Commissioners (NAIC). + Expert knowledge of core health actuarial processes including Pricing, Valuation, and Budgeting/Forecasting required + Experience composing and facilitating presentations. + Efficiency in manipulating and analyzing large and complex data sets from multiple sources using SAS or Python + Proficient in MS Excel spreadsheets and Visual Basic + Ability to communicate quantitative analyses and results in a clear, precise and actionable manner. CAREERS AT VNS Health The future of care begins with you. Together, we will revolutionize health care in the home and community. When you join VNS Health, you become a part of something bigger. For generations, we’ve been a recognized leader and innovator in patient-centered and community-focused health care. At VNS Health, you’ll have the opportunity to meaningfully impact lives. Including yours. Discover your next role at VNS Health.