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Role Summary

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HIGHLIGHTS

Senior health actuary role focused on risk and compliance for Medicare Advantage and Prescription Drug Plan bid filings. You will assess regulatory and actuarial risks, support CMS audits, and lead process improvements while managing a small team. Remote (US) with occasional travel to Humana offices.

JOB DESCRIPTION SUMMARY

  • Lead actuarial risk and compliance for Medicare Advantage and PDP bid filings
  • Support CMS audits and ensure interpretation of CMS guidance
  • Develop controls and process improvements for compliant bid submissions
  • Manage and mentor a small team (opportunity to lead 2 direct reports)
  • Remote US role with occasional travel; eligible for bonus incentive

DOMAIN EXPERTISE

  • Medicare Advantage (MA-PD/PDP) bid filing compliance
  • CMS audit and regulatory compliance experience

KEY REQUIREMENTS

  • Bachelor's degree required
  • 8+ years of technical actuarial experience
  • 2+ years of project leadership experience
  • ASA or FSA designation and membership in the AAA required
  • Strong communication skills

TECH STACK

  • No tech stack specified
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Role Summary

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HIGHLIGHTS

Senior health actuary role focused on risk and compliance for Medicare Advantage and Prescription Drug Plan bid filings. You will assess regulatory and actuarial risks, support CMS audits, and lead process improvements while managing a small team. Remote (US) with occasional travel to Humana offices.

JOB DESCRIPTION SUMMARY

  • Lead actuarial risk and compliance for Medicare Advantage and PDP bid filings
  • Support CMS audits and ensure interpretation of CMS guidance
  • Develop controls and process improvements for compliant bid submissions
  • Manage and mentor a small team (opportunity to lead 2 direct reports)
  • Remote US role with occasional travel; eligible for bonus incentive

DOMAIN EXPERTISE

  • Medicare Advantage (MA-PD/PDP) bid filing compliance
  • CMS audit and regulatory compliance experience

KEY REQUIREMENTS

  • Bachelor's degree required
  • 8+ years of technical actuarial experience
  • 2+ years of project leadership experience
  • ASA or FSA designation and membership in the AAA required
  • Strong communication skills

TECH STACK

  • No tech stack specified

Job Overview

Salary
$129k - $178k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager-level health actuary (ASA/FSA and AAA member) with strong Medicare Advantage bid filing and CMS compliance experience, excellent communication, and proven project leadership.

ASAFSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision Insurance401(k) PlanPaid Time OffPaid Parental LeaveShort/Long Term DisabilityLife InsuranceRemote First
Shortlist Forming
Closing Soon
103d
103 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$129k - $178k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager-level health actuary (ASA/FSA and AAA member) with strong Medicare Advantage bid filing and CMS compliance experience, excellent communication, and proven project leadership.

ASAFSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision Insurance401(k) PlanPaid Time OffPaid Parental LeaveShort/Long Term DisabilityLife InsuranceRemote First
Shortlist Forming
Closing Soon
103d
103 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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