Actuarial Manager, Medicare Advantage

One of the largest non-profit health insurers in the country is seeking a senior actuary to lead pricing, forecasting, and bid development efforts across Medicare Advantage (MA) and Part D products .

This remote position will oversee the annual Medicare bid process, support strategic pricing initiatives, and lead a small actuarial team responsible for delivering insights that drive financial performance and growth.

Key Responsibilities:

Medicare Bid Development & Pricing

• Lead end-to-end Medicare Advantage and Part D bid development activities, including pricing strategy, assumption setting, and CMS submissions.
• Oversee pricing analyses related to product design, trend, risk adjustment, administrative expenses, and profitability.
• Evaluate the financial impact of benefit and product changes and provide recommendations to leadership.
• Ensure bid submissions are competitive, financially sound, and aligned with organizational objectives.

Forecasting & Financial Analysis

• Lead Medicare forecasting processes and financial performance monitoring.
• Analyze key drivers, risks, and opportunities impacting Medicare product performance.
• Oversee experience studies and variance analyses to support strategic planning and decision-making.
• Present actuarial findings and recommendations to senior leadership and cross-functional stakeholders.

Leadership & Team Development

• Manage and mentor a small team of actuarial professionals.
• Provide coaching, guidance, and professional development opportunities for team members.
• Prioritize workload, allocate resources, and ensure timely completion of key deliverables.
• Foster a collaborative and high-performing team environment.

Strategic Partnership & Process Improvement

• Partner with executive leadership, finance, product, and operations teams to support growth and profitability objectives.
• Monitor CMS guidance, regulatory updates, and market trends to assess impacts on pricing and forecasting.
• Drive actuarial process improvements, governance initiatives, and modeling enhancements.
• Identify opportunities for greater efficiency, automation, and operational excellence across actuarial functions.

Qualifications:

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Finance, or a related field.
• ASA designation required (FSA preferred)
• 7+ years of health actuarial experience.
• Prior Medicare Advantage bid development experience required.
• 1+ year of actuarial management or people leadership experience required.
• Strong expertise in Medicare Advantage pricing, forecasting, and financial analytics.
• Proven ability to lead projects and influence stakeholders across multiple business functions.
• Excellent communication and presentation skills.