Actuary, Pricing - Individual MA

Overview

This role focuses on developing and executing pricing strategies for Medicare Advantage products. Responsibilities include establishing pricing assumptions, preparing and submitting bids, supporting regulatory rate filings and certifications, and helping implement rates, new plans, and benefit changes. You will advise Product Development on the cost impact of new products and benefits, while developing and maintaining tools for pricing both standard and customized offerings.

The position addresses moderately to highly complex actuarial challenges and requires strong analytical judgment and cross-functional collaboration.

Responsibilities

• Develop and execute pricing strategies for Medicare Advantage products
• Establish pricing assumptions and prepare and submit bids
• Support regulatory rate filings and certifications
• Help implement rates, new plans, and benefit changes
• Advise Product Development on cost impact of new products and benefits
• Develop and maintain tools for pricing standard and customized offerings
• Establish market-level financial metrics aligned with segment profitability goals
• Analyze results and projections and recommend pricing actions to address targeted performance gaps
• Manage forecasting cycles aligned with government-established timelines
• Use market projections and experience-data tools to identify root causes and develop actionable insights
• Monitor the competitive landscape and collaborate with market partners to support profitable membership growth
• Be accountable for actuarial certifications related to rate filings, including attesting to compliance with state and federal rating and benefit regulations
• Advise executives on significant, often segment-specific functional strategies

Requirements

• Bachelor’s Degree
• FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations
• MAAA
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Preferred Qualifications

• Recent experience with Medicare Advantage bid filing
• Experience as a people leader

Compensation & Benefits

• Pay Range: $129,300 - $177,800 per year
• Eligible for a bonus incentive plan (based on company and/or individual performance)
• Benefits may include:
  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • Short-term and long-term disability
  • Life insurance
  • Additional opportunities

Location

• Remote position
• Willingness to accommodate a work schedule according to Eastern Time Zone (EST)

Work at Home Requirements

• Self-provided internet service must meet minimum criteria:
  • Minimum download speed: 25 Mbps
  • Minimum upload speed: 10 Mbps
  • Wireless, wired cable or DSL connection is suggested
• In certain roles, the minimum recommended internet speed required may not be sufficient for business needs; the employer may require associates to upgrade their internet service if necessary
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Travel

• While remote, occasional travel to offices for training or meetings may be required

Schedule

• Scheduled weekly hours: 40

Application Deadline

• 10-21-2026