Medicare Actuary / Associate Actuary

One of the largest non-profit health insurers in the country is seeking an ASA to support pricing, forecasting, and bid development across Medicare Advantage (MA), Part D, and EGWP products

A variety of soft skills and experience may be required for the following role Please ensure you check the overview below carefully.

This individual will play a key role in annual bid development, financial forecasting, experience analysis, and strategic decision-making related to Medicare products.

Key Responsibilities:

• Support the development of annual Medicare Advantage and Part D bids.
• Develop and maintain pricing assumptions, including trend, risk adjustment, administrative expenses, and margin targets.
• Analyze and model the financial impact of benefit and product design changes.
• Partner with cross-functional stakeholders to evaluate and price strategic initiatives.
• Monitor CMS guidance and industry developments to assess impacts on pricing and bid assumptions.
• Develop and maintain Medicare financial forecasts.
• Analyze key drivers of performance and communicate risks and opportunities to leadership.
• Evaluate variances against budget and projections and provide actionable recommendations.
• Support long-term planning and strategic decision-making through financial modeling and scenario analysis.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Finance, or a related field.
• ASA designation
• 4-6+ years of health actuarial experience.
• Strong analytical, modeling, and forecasting skills.
• Ability to communicate complex actuarial concepts to both technical and non-technical audiences.
• Proven ability to work collaboratively across actuarial, finance, product, and operational teams.

Preferred Experience

• Medicare Advantage bid development.
• Part D and/or EGWP pricing experience.
• Financial forecasting and experience studies.
• Risk adjustment and Medicare product analytics. xhyhwjd
• Process improvement and automation initiatives.