Medicare Actuary
Blue Cross Blue Shield Association
Medicare Actuary
Chicago, Illinois, United States · Yesterday
Medicare Advantage
- Salary
- $128k - $185k
- Experience
- 7+ Years
Role Summary
Role type
Modelling-heavy individual contributor
Closer to a modelling-heavy IC than a pricing-underwriting partner—the ad emphasizes model ownership and Medicare expertise over live deal negotiation.
Senior Health Actuary role in Chicago focused on Federal Employee Program Medicare Advantage and Part D EGWP. You’ll lead pricing, benefit design, CMS revenue and risk-adjustment analysis while supporting forecasting, reserving, regulatory work, and a new Medicare program.
Requirements
Must have
- Bachelor's degree or equivalent work experience
- 7+ years of actuarial experience
- Multiple years of experience in Medicare Advantage/Part D or other health insurance
- Substantial health actuarial expertise in pricing, underwriting, valuation, product development, trend analysis, forecasting, rate filings
- Technical skills with Microsoft Office Suite including Excel
- Associate of the Society of Actuaries (ASA) designation
- Membership in the American Academy of Actuaries (MAAA)
Strongly preferred
- General understanding of data support systems and data requirements
- Ability to work effectively in multi-disciplinary team environment
- Excellent oral and written communication and presentation skills
- Skilled in basic accounting and financial analysis
- Experience in Access, SAS, SQL, VBA, R, or other programming
- Ability to exercise independent actuarial judgement
Nice to have
- Preferred: AI literacy and understanding of generative AI tools
Skills & Domain
ToolsExcelAccessPowerPoint
DomainMedicare Advantage/Part D pricingCMS revenue and risk adjustment modelingRAF and HCC analyticsMedicare Advantage bid developmentEGWP (Employer Group Waiver Program) financial analysis
Get new Health actuarial jobs by email
A free weekly email of new roles that match you. Takes 10 seconds.