Salary: $128k - $185k
Experience: 7+ Years

Role Summary

Role type

Pricing partner to plan decision-makers

Closer to a pricing and plan-partner role than a reserving cycle role, because benefit design, payment models, and program decisions drive the work.

Senior Health Actuary role in Washington, DC, supporting Federal Employee Program Medicare Advantage and Part D EGWP work. You will lead pricing, benefit design, CMS revenue and risk-adjustment analysis while contributing to reserving, forecasting, and regulatory-impact studies. The role is hybrid, offers $127,500-$184,875 annually plus potential bonus, and requires 7+ years of experience, ASA, and MAAA membership.

Requirements

Must have

7+ years of actuarial experience
Multiple years in Medicare Advantage/Part D or other health related experience
Bachelor's degree or equivalent
ASA designation
MAAA membership
Health actuarial expertise in rating, underwriting, valuation, product development, and trend analysis
Proficiency with Microsoft Office Suite including Excel

Strongly preferred

Experience with Access, SAS, SQL, Visual Basic, R, or other programming
Ability to work in multi-disciplinary team
Excellent communication and presentation skills
Skilled in basic accounting and financial analysis
Ability to exercise independent actuarial judgement

Nice to have

AI literacy and understanding of generative AI tools

Skills & Domain

ToolsExcelAccess

DomainMedicare Advantage pricingPart D EGWP experienceCMS revenue and risk adjustmentHCC/RAF analytics

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