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Medicare Actuary

Role overview

Qualifications

  • 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
  • Strong verbal and written communication skills

Responsibilities

  • Lead the development, maintenance, and enhancement of Medicare Part D financial models
  • Own actuarial components of the monthly close process
  • Contribute to the development and submission of Medicare Advantage bids
  • Serve as a subject matter expert for Medicare Advantage and Part D-related financial analyses

Key facts

Other skills

  • Problem Solving
  • Microsoft Excel
  • Microsoft Office
  • Communication
  • Analytical Thinking
  • Critical Thinking

About the company

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Tecsa

Data Analytics & Business Intelligence

Unknown

Company details

IndustryData Analytics & Business Intelligence
Company size51 - 200

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Job description

Description

Zing Health, one of the fastest-growing Medicare Advantage plans in the country, is hiring an Actuary to support Zing’s core Actuarial functions.  


COMPANY OVERVIEW

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the healthcare equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs, and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.


SUMMARY DESCRIPTION:

We are seeking a highly motivated Medicare Actuary to join our growing actuarial team. This is a highly visible individual contributor role that offers significant ownership, responsibility, and exposure across the organization. Reporting directly to the Director of Actuarial Services, 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.

ESSENTIAL FUNCTIONS:

  • 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. 
Requirements

JOB REQUIREMENTS:

Required Qualifications

  • 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. 


Preferred Qualifications

  • 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.  

WHY THIS ROLE?

This role offers a unique opportunity to gain broad exposure across Medicare Advantage actuarial functions while taking ownership of business-critical processes. You will work directly with leadership, influence key financial decisions, and develop the technical, strategic, and communication skills necessary for progression into future actuarial leadership roles. It is an excellent opportunity for someone who wants to move beyond execution and become a trusted business partner and future actuarial leader.

Member-centric Impact Statement

Finance ensures Zing has the financial clarity and discipline needed to sustainably serve our members. Through the work of Accounting, FP&A, and Actuarial, the team provides accurate reporting and insights into financial performance and aid in the development of the Medicare Advantage bids that support sustainable plans with strong benefits for our members.

Zing Health offers the following 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.

Zing Health is committed to being an Equal Opportunity Employer. This means the company ensures all employment decisions, including hiring, promotion, compensation, and benefits, are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other legally protected characteristic. Zing Health strives to create a diverse, inclusive, and respectful workplace, providing equal access and opportunities for all employees and applicants. The organization actively promotes a culture of fairness and non-discrimination, supporting the personal and professional growth of every team member

Salary Description
$140,000-$150,000 annually based on experience

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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