Overview
This role conducts analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. The position supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.
Responsibilities
- Analyze and evaluate business risks and opportunities.
- Analyze data reports, identify trends and gaps, and recommend actions.
- Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.
- Develop probability tables based on analyses of statistical data and other pertinent information.
- Research and analyze the impact of legislative changes.
- Determine equitable methods for distributing funds for insurance benefits.
- Create and update actuarial reports.
- Participate in merger and acquisition analyses.
- Certify annual Medicare bids.
Requirements
- Associate of the Society of Actuaries (ASA) (or equivalent international certification).
- Bachelor’s degree in a related field or equivalent experience.
- 2+ years of actuarial experience.
- Strong analytical judgment.
- Advanced Excel skills.
- Basic SQL/query skills.
Preferred Qualifications
- MAAA designation for Medicare bid certification.
- Experience with Medicare Advantage financial performance.
- Cost trend analysis experience.
- Actuarial analytics experience.
- AI/Copilot experience.
Compensation & Benefits
- Pay Range: $87,700.00 - $157,800.00 per year
- Comprehensive benefits package may include:
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field, or office work schedules
- Actual pay may be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives.
- Benefits may be subject to program eligibility.
Location
Fully remote within the Continental U.S.