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Role Summary

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HIGHLIGHTS

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
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Role Summary

Loading...

HIGHLIGHTS

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

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Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An associate-level health actuary (ASA/FSA) with 5+ years of Medicare Advantage/Part D pricing and CMS bid experience, strong Excel and SQL skills, and the ability to drive bid projects independently.

ASAFSA

Benefits

Hybrid Work
Shortlist Forming
Closing Soon
49d
49 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
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An associate-level health actuary (ASA/FSA) with 5+ years of Medicare Advantage/Part D pricing and CMS bid experience, strong Excel and SQL skills, and the ability to drive bid projects independently.

ASAFSA

Benefits

Hybrid Work
Shortlist Forming
Closing Soon
49d
49 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."

Health/Insurer/IC Level
Independence Blue Cross

Assistant Actuary I (Medicare)

Independence Blue Cross•Philadelphia, United States•1mo ago
HybridMedicare AdvantageMedicare PartDPricing & RatingRegulatory Reporting