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Remote Associate Actuary

JobgetherUnited States2mo ago
RemoteMedicare AdvantagePrescription Drug PlansPricing & RatingRisk Management, ERM & ORSARegulatory Reporting

Role Summary

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HIGHLIGHTS

Remote Associate Actuary (Health) focused on Medicare Advantage and Prescription Drug Plans. You will manage/oversee actuarial and support staff, lead risk assessment and CMS bid filings, and participate in CMS audits to ensure regulatory compliance. Role is Associate-level, requires ASA/FSA and 5+ years' technical actuarial experience, and is based in the United States (remote).

JOB DESCRIPTION SUMMARY

  • Manage and oversee actuaries and support staff for MA/PDP risk assessment
  • Support Medicare Advantage and Prescription Drug Plan bid filings and CMS audits
  • Drive process improvements for compliant bid filings and risk mitigation
  • Remote role based in the United States
  • Requires ASA or FSA and 5+ years of technical actuarial experience

DOMAIN EXPERTISE

  • Medicare Advantage bid filings and CMS guidance interpretation
  • Participation in CMS audits and reviews related to Medicare bids
  • Risk assessment and mitigation for Medicare Advantage and PDP
  • Technical actuarial experience in health actuarial practice

KEY REQUIREMENTS

  • Bachelor's degree required
  • 5+ years of technical actuarial experience
  • ASA or FSA credential required
  • Experience with Medicare Advantage and Prescription Drug Plan bid filings
  • Strong communication skills

TECH STACK

  • No tech stack specified