Actuarial Analyst II - Medicare
About The Position
Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve. We are seeking an Actuarial Analyst II - Medicare Pricing professional to join our Government Markets team. This role is ideal for candidates who have hands-on experience with Medicare Advantage and/or Part D bid development and are looking to apply their expertise in a collaborative, fast-paced environment. The successful candidate will play a key role in supporting the pricing, forecasting, and strategic analysis of our Medicare products, ensuring compliance with CMS requirements and contributing to the financial success of our government programs.
Requirements
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field.
- 2+ years of actuarial experience, with a focus on Medicare pricing.
- Completion of four actuarial exams.
- Familiarity with CMS bid process and regulatory requirements.
- Strong analytical and problem-solving skills.
- Proficiency in Excel and SQL.
- Excellent communication and collaboration skills.
Nice To Haves
- Experience with Medicare Advantage and/or Part D actuarial models.
- Demonstrated ability to work independently and drive projects forward with minimal oversight.
- Proven track record of taking initiative, managing competing priorities, and delivering high-quality work in a deadline-driven environment.
Responsibilities
- Support the development and pricing of Medicare Advantage and Part D products.
- Assist in preparing annual CMS bid submissions, including benefit design, cost projections, and revenue estimates.
- Evaluate historical claims and utilization data to support the pricing of benefit differentials and cost-sharing structures across Medicare plan designs.
- Collaborate with cross-functional teams, including finance, underwriting, and product development in support of pricing analyses and corporate strategy, and forecasts.
- Monitor regulatory changes and assess their impact on pricing and profitability.
- Contribute to actuarial models and tools used for bid development and scenario analysis.
- Present findings and recommendations to the actuarial manager.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Religious, Grantmaking, Civic, Professional, and Similar Organizations
