Actuarial Analyst II - Medicare
HybridMedicare AdvantageHealth OtherPricing & RatingRegulatory ReportingExperience Studies
Role Summary
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Associate-level Health actuarial role focused on Medicare Advantage and Part D pricing in Philadelphia. You will support CMS bid submissions, price products, analyze claims and utilization, and develop actuarial models for bid and scenario analysis. Hybrid role (3 days in office) within the Tri-State area.
JOB DESCRIPTION SUMMARY
- Support pricing and bid development for Medicare Advantage and Part D
- Prepare annual CMS bid submissions and cost/revenue projections
- Analyze historical claims and utilization to inform pricing
- Hybrid role — 3 days in office (Tue–Thu), remote Mon & Fri; must be in Tri-State area
- Collaborate with finance, underwriting, and product teams; present to actuarial manager
DOMAIN EXPERTISE
- Medicare pricing
- CMS bid submissions and compliance
- Medicare Advantage and Part D bid development
KEY REQUIREMENTS
- 2+ years of actuarial experience with Medicare pricing
- Completion of four actuarial exams (minimum)
- Familiarity with CMS bid process and regulatory requirements
- Proficiency in Excel and SQL
- Work must be performed in the Tri-State Area (DE, NJ, PA)
TECH STACK
- Excel
