Lead Director; Actuarial - Medicare Part D
Medicare AdvantageHealth OtherPricing & RatingProduct Development & Plan DesignRegulatory Reporting
Role Summary
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Senior Health actuarial leadership role focused on Medicare Part D (MAPD/PDP) pricing, bids, and benefit design in Hartford, CT. You will lead a team, manage vendor relationships, coordinate CMS bid reviews, and set defensible actuarial assumptions. ASA or FSA and 10+ years of actuarial experience with Medicare Part D required.
JOB DESCRIPTION SUMMARY
- Lead actuarial pricing and Part D bid strategy for MAPD/PDP products
- Manage and develop a team of actuarial professionals
- Own vendor relationships and coordinate CMS bid audits and desk reviews
- Set and defend actuarial assumptions for risk scores, membership, and population change
- Director-level role in Hartford, CT; ASA or FSA required
DOMAIN EXPERTISE
- Medicare Part D bidding and pricing
- Pharmacy or Medicare bid experience
- Actuarial assumption setting for risk scores and membership
- Vendor management for Part D bids
- Regulatory interaction with CMS and bid audits
KEY REQUIREMENTS
- 10+ years of actuarial experience
- ASA or FSA required
- Prior Medicare Part D, pharmacy, or bid experience required
- Prior people leadership experience with direct reports
- Bachelor's degree required
TECH STACK
- No tech stack specified