Associate Actuary, Risk and Compliance
RemoteMedicare AdvantageHealth OtherRisk Management, ERM & ORSARegulatory ReportingProduct Development & Plan Design
Role Summary
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Associate-level health actuarial role focused on risk and compliance for Medicare Advantage and Prescription Drug Plan bid filings. You will oversee actuarial staff, ensure CMS guidance is correctly implemented, participate in audits, and drive process improvements. Remote role based in the United States with occasional travel to Humana offices.
JOB DESCRIPTION SUMMARY
- Manage risk and compliance for Medicare Advantage (MA-PD) and Prescription Drug Plan bid filings
- Ensure interpretation and implementation of CMS guidance and filing controls
- Participate in CMS audits and reviews related to Medicare bids
- Drive process improvements to improve compliant bid submissions
- Remote position with occasional travel; 40 hours/week
DOMAIN EXPERTISE
- No domain expertise specified
KEY REQUIREMENTS
- Bachelor's degree required
- 5+ years of technical actuarial experience
- ASA or FSA credential required
- Strong communication skills
TECH STACK
- No tech stack specified