# VP, Medicare Advantage Chief Actuary at Lumeris

- Company: Lumeris
- What the company does: Lumeris is a physician-first healthcare transformation company dedicated to improving primary care through our AI-powered Primary Care as a Service platform. Backed by Kleiner Perkins.
- Company website: https://www.lumeris.com/
- Type: Startups
- Level: Principal and up
- Location: Virtual – Microsoft Teams
- Work setup: On-site
- Posted: 2026-11-05
- Apply by: 2026-12-20
- Apply: https://lumeris.wd1.myworkdayjobs.com/en-US/LC/job/Virtual--Microsoft-Teams/VP--Medicare-Advantage-Chief-Actuary_R0007099?utm_source=1752vc&utm_medium=careers
- Page: https://www.1752.vc/careers/jobs/lumeris-vp-medicare-advantage-chief-actuary/

## About the role

Provides oversight, strategic direction, process improvements, and best practices for the department. Responsible for all actuarial and underwriting/pricing functions in support of Essence Healthcare’s Medicare Advantage plan operations. Found on 1752vc Careers, the job board for startup and VC roles.

## What they're looking for

- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or related quantitative field
- Expert understanding of CMS bid mechanics, HPMS filings, CMS-HCC and RxHCC risk adjustment models, Part D direct subsidy/formulary economics, Star Ratings financial mechanics, and statutory IBNR reserving
- Proven ability to develop, support, coach, mentor, and empower a cross-functional team of credentialed actuaries, students, and healthcare economics data analysts
- Highly skilled at developing pricing strategies and plans for new products and innovative services, including specialized MA plans (e.g., Chronic or Dual-Eligible SNPs) and consumer-centric supplemental benefit packages
- Proven ability to work collaboratively across functional teams and different organizational levels to deliver results under strict, non-negotiable statutory timelines (e.g., annual June CMS bid deadline)
- Demonstrated ability to partner with sales and growth teams to evaluate Annual Enrollment Period (AEP) targets, geographic service area expansions, and competitive market positioning


Source: 1752vc Careers, https://www.1752.vc/careers/jobs/lumeris-vp-medicare-advantage-chief-actuary/