Actuary

• Direct and oversee the end-to-end development, modeling, and submission of annual Medicare Advantage Part C and Part D bids
• Ensure compliance with CMS guidelines and adherence to statutory deadlines
• Partner with product, clinical, and local market leaders to design competitive benefit packages
• Establish, defend, and document actuarial bid assumptions
• Build, refine, and maintain scalable bid pricing models
• Perform scenario testing and sensitivity analyses for CMS payment policy changes, risk model updates, benchmark shifts, and competitive dynamics
• Interpret CMS Call Letters, Bid Instructions, and Rate Announcements and translate changes into modeling adjustments and executive guidance
• Collaborate with Finance, Healthcare Economics, Clinical Operations, and Network Management
• Partner with data engineering and analytics teams to ensure claims, enrollment, and risk adjustment data quality
• Prepare executive-level presentations on bid strategy, financial returns, and risk profiles for leadership, board members, and regulatory reviewers

Explore Pricing Actuary – Medicare Advantage at Devoted Health. Review requirements and application details.

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