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Associate Director, Medicare Advantage Bid Strategy & Analytics

$129k - $193k

Devoted Health Services, Inc

Overview We are seeking a highly skilled and analytically driven Medicare Advantage Bid Strategy & Analytics Associate Director to join the team responsible for designing, pricing, and optimizing Devoted Health’s MA benefit portfolio. The role reports to the Senior Director, Medicare Product Strategy and Analytics and requires full ownership from strategic framing down to individual benefit parameters. The position blends financial modeling, SQL development, and executive‑level presentation within a fast‑paced, AI‑driven environment that transforms the bid cycle into automated, overnight pipelines. Responsibilities & Impact Financial Modeling & Bid Analytics Develop and maintain bid financial models linking benefit decisions to economic metrics, including MCR analysis, PMPM normalization, plan‑absorbed benefit value estimation, and version‑over‑version delta tracking. Scenario test benefits in each market to identify adverse selection risk, quantify financial exposure, and recommend design adjustments. Environmental Analysis Monitor CMS regulations, payment methodologies, risk adjustment updates, and Stars payment changes; provide executive‑level interpretation of their impact. Benefit Design & Product Development Build and refine algorithms that generate benefit values across hundreds of Product Benefit Parameters (PBPs), translating strategic intent into precise benefit logic and resolving edge cases. Support new product and plan flavor development from opportunity sizing to full benefit build‑out and implementation. Competitive Strategy & Market Analytics Conduct market analysis on portfolio decisions with financial and competitive context, evaluating terminations, crosswalks, Stars implications, and market entry/exit trade‑offs. Synthesize insights into clear, decision‑enabling recommendations for senior leadership. Technical Build & Analytical Infrastructure Write and maintain production SQL (Snowflake) for benefit cascade systems, including multi‑CTE pipelines and enforcement logic. Build Python scripts and automation workflows to reduce hand‑off effort in the bid cycle. Advance AI use through agentic workflows and coding assistants to automate and scale bid operations. Required Skills and Experience Direct Medicare Advantage bid mechanics experience with deep understanding of BPTs, MCR, and bid math. 5–8 years relevant experience at a Medicare Advantage plan or actuarial/consulting firm (e.g., Milliman, Oliver Wyman). Strong analytical modeling skills, SQL fluency, and ability to build complex data pipelines. Proficiency in Python for scripting and automation. Self‑sufficient, business‑judgement‑driven, and comfortable working in ambiguity. Desired Skills and Experience Familiarity with MA benefit design, cost‑sharing structures, and CMS requirements. Knowledge of Stars, QBP eligibility, and rating impact on plan portfolio. Experience with automated benefit generation systems or large‑scale bid tooling. Who You Are Deep interest in the Medicare Advantage ecosystem, understanding of incentives and rules. Fast problem‑solver who makes well‑reasoned calls with incomplete data, openly states assumptions, and updates when better data arrives. Comfortable translating analytical insight into executive‑ready recommendations and vice versa. Thrives in a fast‑moving, entrepreneurial environment and enjoys collaborating closely with a tight‑knit team. Benefits & Compensation Salary range: $129,000 – $193,000 annually. Health, dental, and vision insurance with low or no premium. Generous paid time off. $100 monthly mobile or internet stipend. Stock options for all employees. 401(k) plan. Parental leave program. EEO Statement Devoted Health is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. as an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. #J-18808-Ljbffr

Vacancy posted 6 hours ago
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