Actuarial Manager (ASA) - Medicare / Provider VBP (CMH Health)

TL;DR

Actuarial Manager (Medicare/VBP): Managing actuarial analysis and Value-Based Payment strategies for healthcare providers with an accent on Medicare regulations and risk adjustment. Focus on developing financial models, solving complex payment structure challenges, and ensuring regulatory compliance.

Location: Brookfield, WI; Chicago, IL; or Windsor, CT (USA)

Company

hirify.global is a global actuarial and consulting firm providing strategic risk management and financial services.

What you will do

• Lead actuarial analysis for Medicare and Provider Value-Based Payment (VBP) programs.
• Develop and maintain complex actuarial models to assess and mitigate financial risk.
• Collaborate with healthcare providers to optimize and design payment structures.
• Perform detailed financial forecasting and risk adjustment calculations.
• Ensure all actuarial reports meet strict industry and regulatory standards.

Requirements

• Must be based in or able to work from the USA (specifically WI, IL, or CT).
• ASA (Associate of the Society of Actuaries) designation.
• Professional experience in Medicare or Provider Value-Based Payment (VBP).
• Strong proficiency in actuarial mathematics and financial modeling.
• Excellent analytical and problem-solving capabilities.