Medicare Actuary

Zing HealthRemote, IL
$140,000 - $150,000

About The Position

Zing Health is seeking a highly motivated Medicare Actuary to join their growing actuarial team. This is a highly visible individual contributor role that offers significant ownership, responsibility, and exposure across the organization. The Medicare Actuary will lead key actuarial and financial processes, with primary ownership of Medicare Part D modeling and monthly close activities. This role is ideal for an experienced actuarial professional with Medicare Advantage expertise who is looking to take the next step in their career by owning critical processes, partnering directly with senior leaders, and developing the leadership skills necessary for future advancement. The successful candidate will combine strong technical actuarial skills with business acumen, independent problem-solving capabilities, and effective communication and presentation skills.

Requirements

  • 4+ years of actuarial experience in a healthcare environment.
  • Medicare Advantage experience required, including Part D experience.
  • Near-ASA (Associate of the Society of Actuaries) with ASA strongly preferred.
  • Experience supporting monthly close processes, reserving, forecasting, and Part D settlement modeling.
  • Advanced Microsoft Excel skills and proficiency in the Microsoft Office Suite.
  • Experience with SQL and healthcare data extraction and manipulation.
  • Strong analytical thinking, problem-solving, and critical reasoning skills.
  • Ability to work independently, exercise sound judgment, and manage multiple priorities with minimal supervision.
  • Strong verbal and written communication skills with a demonstrated ability to effectively present financial and actuarial concepts to both technical and non-technical audiences.
  • Legal authorization to work in the United States without employer sponsorship.

Nice To Haves

  • Experience with Python, R, and/or SAS.
  • Experience with business intelligence and data visualization tools such as Tableau or Power BI.
  • Knowledge of Medicare Advantage bid development, and risk adjustment.
  • Experience creating executive-level presentations and communicating insights to senior leadership.
  • Ability to leverage AI for coding and research.

Responsibilities

  • Lead the development, maintenance, and ongoing enhancement of Medicare Part D financial models, including settlements, forecasting, and experience monitoring.
  • Own actuarial components of the monthly close process, including evaluation of IBNR reserves.
  • Contribute to the development and submission of Medicare Advantage bids.
  • Build actuarial models and perform complex data analysis using large healthcare datasets to support forecasting, reserving, and strategic decision-making.
  • Identify opportunities to improve existing processes, automate workflows, and enhance analytical capabilities.
  • Serve as a subject matter expert for Medicare Advantage and Part D-related financial analyses.
  • Present findings, recommendations, and actuarial concepts to senior leadership in a clear and concise manner.
  • Mentor and support junior actuarial team members through technical guidance and knowledge sharing, while not having direct people management responsibilities.

Benefits

  • A competitive salary based on the market
  • Medical, Dental, and Vision
  • Employer-Paid Life Insurance
  • Paid Maternal Leave
  • Paid Paternal Leave
  • 401(K) match up to 4%
  • Paid-Time-Off
  • Employee Assistance Programs
  • Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.
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