Medicare Advantage Actuary: CMS Bids & Regulatory Pricing
Curana Health, Inc.
Curana Health, Inc. is hiring a Health Plan Actuary to support critical financial and regulatory functions across Medicare Advantage lines. The ideal candidate will lead CMS bid development, perform risk adjustment modeling, and translate complex actuarial findings for diverse stakeholders. A Bachelor’s degree and ASA credential are required, and candidates must have at least 5 years of actuarial experience in healthcare. Proficiency in Excel and actuarial tools is crucial for success in this role. #J-18808-Ljbffr Curana Health, Inc.
- ...experienced Health Plan Actuary to support critical financial, regulatory, and analytical functions across our Medicare Advantage lines of business. The ideal... ...play a central role in CMS bid development, risk... ...quality review Develop Part D pricing models and support Part...CmsRegulatory
- ...Health is hiring an experienced Health Plan Actuary in Idaho to support financial and analytical functions across Medicare Advantage lines. The ideal candidate has strong actuarial... ...settings. Responsibilities include leading bid development, risk adjustment modeling, and...Cms
$162k - $302.4k
...development of pricing models and their... ...product strategy for Medicare and State-... ...Enterprise Government Actuarial Areas, which... ...Enterprise Medicare bid filings,... ...filing of Medicare Advantage bids. Oversee... ...the appropriate regulatory authority (e.g., CMS, New York Department...CmsRegulatoryWork experience placement- .... Position Title: Senior Actuary - Medicare Strategy Location: Remote... ...Medicare product performance, pricing strategy, and regulatory compliance. The position... ...focus on Medicare Advantage. It involves close collaboration... ...bodies such as CMS and state health departments...CmsRegulatoryFull timeWork at officeRemote work
$77.76k - $149.04k
...the development of overall pricing and reserve setting... ...alternatives. Coordinate the actuarial staff as needed to support... ...with the appropriate regulatory authority (e.g., CMS, New York Dep't of Health)... ...direct reports accountable for Medicare and State Sponsored areas,...CmsRegulatoryWork experience placementRemote work$81.07k - $129.71k
...Description We are seeking a motivated Actuarial Analyst to join our Medicare Pricing Team. In this role, you will... ...and transmits rate filings to regulatory agencies (NCDOI, CMS). Retrieves and validates... ...Points Previous Medicare Advantage experience a plus SQL, SAS, Python...CmsRegulatory- ...Associate Actuary Seeking a motivated and analytically driven... ...Associate Actuary to drive strategic pricing and advanced research... ...produce exhibits and respond to regulatory objections... ...it will sustain a competitive advantage and remain an employer of choice...RegulatoryFlexible hours
- Consulting Actuary - ACA Risk Adjustment As a Consulting Actuary - ACA Risk Adjustment,... ...Your responsibilities will include leading pricing strategies, evaluating advanced care... ...Insurance Industry Organizational Leadership Regulatory Compliance Benefits Opportunity to work...CmsRegulatory
$124k - $155k
...Associate Actuary - Professional Lines Pricing - Lexington At AIG, we are reimagining the way we help customers to manage risk. Join us as an Associate... .... Monitor loss trends and relevant industry/regulatory changes with a view to communicate these trends effectively...RegulatoryWork at officeFlexible hours$118.7k - $207.8k
...will be involved in all aspects of SRS Pricing and will contribute to the underwriting... .... You will have exposure to both UW and Actuarial leadership teams through quarterly business... ...Analysis, Risk Management and Regulatory Support Capital modeling support including...CmsRegulatoryFlexible hours$199k - $235k
Actuary & AVP - Lexington Property PricingAt AIG, we are reimagining the way we help customers... ...Vice President - Lexington Property Pricing to take on key responsibilities within a... ...awareness of the business, regulatory environment, competitors, market cycle,...RegulatoryWork at office- ...strategic, high-impact actuarial leader to serve as... ...President - Actuary, Medicare. This role provides independent... ...revenue streams, pricing, and balance sheet reserves... ...risk under multiple regulatory and market assumptions... ...knowledge of Medicare bidding, pricing, and risk...RegulatoryRemote work
- ...such as Advanced Analytics, Investments, Actuarial, Accounting, Risk Management, Critical... ...extraordinary care. Sr. Actuary, Agribusiness Pricing We are seeking a highly skilled and... ...expert knowledge of company, industry, and regulatory practices. Mastery of Microsoft Office...RegulatoryRemote jobTemporary workCasual workWork at office
$65k - $110k
...Actuarial & Strategy Consultant Oliver Wyman is a global leader... ...-term care work, including pricing, valuation, and actuarial... ...Example Projects: Medicare Advantage bid development and commercial... ...benchmarking Market and regulatory impact assessments Provider...RegulatoryPermanent employmentFull timeContract workWork at office$81.07k - $129.71k
...Description Join our team as an Actuarial Analyst, where you will... ..., including rating and pricing, valuation, healthcare economics... ...transmits rate filings to regulatory agencies (NCDOI, CMS). Retrieves and validates... ...Points Experience in Medicare Part D pricing preferred...CmsRegulatory$140k - $180k
...Associate Director Government Pricing**Requisition**JR000015808... ...with Legal, Government Affairs, Regulatory, Commercial, Finance, Accounting... ...), Unit Rebate Amount (URA), Medicare Part B Inflationary Rebates... ...fees per the required CMS qualitative and quantitative...CmsRegulatoryContract work3 days per week- A leading executive search firm is seeking an Actuary in New York to perform reinsurance pricing, stochastic modeling, and portfolio optimization analysis... ..., with further exposure to R, Python, or SQL being advantageous. Join a collaborative environment that values...
$83.43k - $185.4k
...everything we do. Join a high‑performing actuarial team supporting CVS Health and Aetna’s... ...development and maintenance, pricing, regulatory reform, SAI support, process improvement... ...through actuarial exams near ASA. Previous Medicare PartD or pharmacy experience. Bachelor...RegulatoryHourly payWeekly payFull timeLocal area$115 - $120 per hour
## Actuarial Associate - IR Pricing & Product DevelopmentApplylocations: NJ-Jersey City: CA-Woodland Hills: TX-Houstontime type: Full timeposted... ...development and maintenance of actuarial models. Understand the regulatory environment and other standards required for product...RegulatoryWork experience placementLocal areaImmediate startRemote work$262k - $289k
...The Chief Pricing Office (CPO) is an independent, enterprise-wide owner of pricing value creation, ensuring that every deal and every... ...continuous improvement Role Overview (AVP): As an AVP & Actuary within the Chief Pricing Office, you will serve as a senior...Work at officeShift work$110k - $120k
Digital Insurance LLC in the United States seeks an Actuary to analyze risk, pricing, and financial exposure for insurance products. The ideal candidate will have a Bachelor's degree in a relevant field, ASA accreditation, and at least 3 years of actuarial experience....$165k - $190k
A leading insurtech platform in the United States is seeking a Pricing and Systems Actuary to enhance their rating systems and risk models. The ideal candidate will have at least 3 years of experience in P&C insurance and 2+ years of Python expertise. Your role will involve...$69k - $115k
A recruitment firm is seeking a qualified P&C Actuary for a part-time remote position. The ideal candidate will have ACAS or FCAS certification... ...and over 7 years of experience in product development, pricing, and profitability analysis within the P&C insurance sector....Remote jobPart time$81.07k - $129.71k
Blue Cross and Blue Shield of North Carolina is seeking a motivated Actuarial Analyst to join their Medicare Pricing Team. The role involves applying mathematical and statistical knowledge to support rating, valuation, and financial forecasting activities. Ideal candidates...$50 - $60 per hour
A leading AI training company is seeking a Pricing Actuary to enhance AI capabilities in financial contexts. This role offers flexibility in remote working hours, allowing you to work part-time or full-time. Candidates should have a strong background in finance, ideally...Remote jobHourly payFull timePart time$81.07k - $129.71k
Blue Cross and Blue Shield of North Carolina is seeking a motivated Actuarial Analyst to join the Medicare Pricing Team. This role involves applying statistical knowledge to support activities such as rating, financial forecasting, and actuarial research. The ideal candidate...$135k - $185k
DW Simpson Global Actuarial & Analytics Recruitment is seeking an ILS Actuary in New York, NY, for a growing P&C company. The ideal candidate... ...or FCAS designation and 8+ years of experience, focusing on pricing and developing ILS and reinsurance products. Key...- ...experienced professional to support the North American Specialty Environmental business. This role will involve conducting advanced actuarial pricing analyses, collaborating closely with the Senior Actuary and Underwriters to develop strategies for portfolio pricing and...
$150k - $239k
Senior Pricing Actuary - WC (Remote #57206) Senior Pricing Actuary - WC (Remote #57206) 6 days ago Be among the first 25 applicants DW Simpson Global Actuarial & Analytics Recruitment provided pay range This range is provided by DW Simpson Global Actuarial & Analytics Recruitment...Remote jobFull time$160k - $215k
Vantage Risk Companies seeks a Pricing Actuary to enhance insurance pricing capabilities across its Casualty business units. This role requires strong actuarial skills and over 8 years of pricing experience. Candidates should be ACAS certified with a deep understanding...Remote jobFlexible hours
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