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Role Summary

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HIGHLIGHTS

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
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Role Summary

Loading...

HIGHLIGHTS

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

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Job Overview

Salary
$107k - $147k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an Associate-level health actuary with Medicare Advantage/PDP familiarity who holds an ASA or FSA, has 5+ years of technical experience, strong communication skills, and basic SQL/VBA comfort.

ASAFSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision Insurance401(k) PlanPaid Parental LeaveShort/Long Term DisabilityLife InsuranceGenerous Vacation
Shortlist Forming
Closing Soon
22d
22 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
$107k - $147k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an Associate-level health actuary with Medicare Advantage/PDP familiarity who holds an ASA or FSA, has 5+ years of technical experience, strong communication skills, and basic SQL/VBA comfort.

ASAFSA

Benefits

Annual BonusHealth InsuranceDental InsuranceVision Insurance401(k) PlanPaid Parental LeaveShort/Long Term DisabilityLife InsuranceGenerous Vacation
Shortlist Forming
Closing Soon
22d
22 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/Manager Level
H

Associate Actuary, Risk and Compliance

Humana Inc.•United States•3w ago
RemoteMedicare AdvantageHealth OtherRisk Management, ERM & ORSARegulatory ReportingProduct Development & Plan Design