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State Licensed Lead Actuarial Consultant

Company: VirtualVocations
Location: Chesapeake
Posted on: March 12, 2025

Job Description:

A company is looking for a Lead Actuarial Consultant - Risk Adjustment (Remote).



Key Responsibilities

Build and maintain the CMS HCC risk scoring model using FFS claims data
Lead quarterly risk adjustment analysis and forecasting for Medicare populations
Document and present summary review memos for risk adjustment analysis and forecasting


Required Qualifications, Training, and Education

Bachelor's degree in Math, Statistics, Economics, Actuarial Science, or a related field
8+ years of actuarial experience with 5+ years in healthcare
3+ years of experience with CMS/HHS HCC risk adjustment modeling
2+ years of experience with a CMMI ACO Model is strongly preferred
Associate of the Society of Actuaries certification is required

Keywords: VirtualVocations, Chesapeake , State Licensed Lead Actuarial Consultant, Professions , Chesapeake, Virginia

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