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Role Summary

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HIGHLIGHTS

Executive Director leading Medicare Part D actuarial for Individual MAPD and PDP in Chicago. Responsible for product strategy, pricing, bid development/submission, forecasting, audits, and team leadership. Senior strategic partner to Pharmacy, Product, Finance, Compliance, and Operations with accountability for financial performance.

JOB DESCRIPTION SUMMARY

Lead actuarial strategy and pricing for Medicare Part D (MAPD and PDP)
Own end-to-end bid development, submission, and CMS audit responses
Manage quarterly forecasting and monthly close actuarial support
Lead and develop a multi-department actuarial team
Hybrid role based in Chicago (tagged #LI-Hybrid)

DOMAIN EXPERTISE

Medicare Part D pricing and bid development
Quarterly forecasting and monthly close actuarial support
CMS bid audits and financial audit experience
Pharmacy benefit economics, formulary and network strategy

KEY REQUIREMENTS

Bachelor's degree required
10+ years data/transactional or group health underwriting experience
10+ years management experience overseeing multiple departments
Experience leading multi-year group insurance implementation projects
Experience with actuarial systems/apps, testing, and audit controls

TECH STACK

No tech stack specified

Salary Pro Post a Job

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Role Summary

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HIGHLIGHTS

Executive Director leading Medicare Part D actuarial for Individual MAPD and PDP in Chicago. Responsible for product strategy, pricing, bid development/submission, forecasting, audits, and team leadership. Senior strategic partner to Pharmacy, Product, Finance, Compliance, and Operations with accountability for financial performance.

JOB DESCRIPTION SUMMARY

Lead actuarial strategy and pricing for Medicare Part D (MAPD and PDP)
Own end-to-end bid development, submission, and CMS audit responses
Manage quarterly forecasting and monthly close actuarial support
Lead and develop a multi-department actuarial team
Hybrid role based in Chicago (tagged #LI-Hybrid)

DOMAIN EXPERTISE

Medicare Part D pricing and bid development
Quarterly forecasting and monthly close actuarial support
CMS bid audits and financial audit experience
Pharmacy benefit economics, formulary and network strategy

KEY REQUIREMENTS

Bachelor's degree required
10+ years data/transactional or group health underwriting experience
10+ years management experience overseeing multiple departments
Experience leading multi-year group insurance implementation projects
Experience with actuarial systems/apps, testing, and audit controls

TECH STACK

No tech stack specified

Job Overview

Salary

$162k - $300k

Years of Experience

10+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Experienced actuarial leader (Director-level) with deep Medicare Part D pricing and bid experience, ideally an FSA, who can drive strategy, lead audits, and mentor a multi-department team.

Benefits

Health InsuranceShort/Long Term DisabilityLife Insurance401(k) PlanPaid Parental LeaveGenerous VacationTuition ReimbursementAnnual BonusWellness ProgramHybrid Work

Shortlist Forming

Closing Soon

165d

165 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

$162k - $300k

Years of Experience

10+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Experienced actuarial leader (Director-level) with deep Medicare Part D pricing and bid experience, ideally an FSA, who can drive strategy, lead audits, and mentor a multi-department team.

Benefits

Health InsuranceShort/Long Term DisabilityLife Insurance401(k) PlanPaid Parental LeaveGenerous VacationTuition ReimbursementAnnual BonusWellness ProgramHybrid Work

Shortlist Forming

Closing Soon

165d

165 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."

Executive Director, Actuarial

Health Care Service Corporation

Health/Insurer/Director Level

Executive Director, Actuarial

Health Care Service Corporation

Chicago, United States•5mo ago

HybridMedicare AdvantageHealth Other

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