Assistant Actuary I (Medicare)
HybridMedicare AdvantageMedicare PartDPricing & RatingRegulatory Reporting
Role Summary
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Assistant Actuary I (Medicare) at an insurer in Philadelphia. This healthcare actuary role focuses on Medicare Advantage and Part D pricing, CMS bid development, forecasting, and regulatory compliance. The position is an individual-contributor, associate-level role requiring ~5+ years of Medicare pricing experience and SOA credentials. Hybrid role based in the Tri-State area (DE/NJ/PA).
JOB DESCRIPTION SUMMARY
- Price Medicare Advantage and Part D products and support annual CMS bid submissions
- Analyze claims and utilization to inform benefit design and cost projections
- Build and contribute to actuarial models and bid development tools
- Hybrid role: 3 days in office (Tue–Thu), remote Mon/Fri within Tri-State (DE/NJ/PA)
- Associate-level role requiring 5+ years Medicare pricing and SOA designation
DOMAIN EXPERTISE
- Medicare pricing
- Medicare Advantage and Part D bid development
- CMS bid process familiarity
- claims and utilization analysis
- risk adjustment and revenue forecasting
KEY REQUIREMENTS
- 5+ years of actuarial experience with a focus on Medicare pricing
- Fellow or Associate of the Society of Actuaries (FSA or ASA) required
- Familiarity with CMS bid process and regulatory requirements
- Proficiency in Excel and SQL
- Bachelor’s degree in Actuarial Science, Math, Statistics, or related field
TECH STACK
- Excel
