Role Summary

HIGHLIGHTS

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

Role Summary

HIGHLIGHTS

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