Executive Director, Actuarial
Health Care Service Corporation
Executive Director, Actuarial
Chicago,
United States•5mo ago
HybridMedicare AdvantageHealth Other
Role Summary
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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
