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Role Summary

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HIGHLIGHTS

A hands-on Medicare Actuary role within a health insurance company in New York. You will lead pricing, forecasting, and bid development for Medicare Advantage, Part D, and EGWP products, working end-to-end through bid season. The role involves owning actuarial components of annual bids, delivering regular forecasting, and performing experience studies to inform product strategy and financial performance.

JOB DESCRIPTION SUMMARY

  • Own actuarial components of MA/Part D/EGWP bid submissions
  • Deliver pricing scenarios and experience analytics to business partners
  • Produce regular forecasting with clear variance analysis
  • ASA required; 5–8+ years of experience with 4+ in health insurance
  • Hybrid role based in New York, New York

DOMAIN EXPERTISE

  • Medicare Advantage bid pricing
  • Part D bid development
  • Experience study analytics
  • CMS regulation landscape

KEY REQUIREMENTS

  • 5–8+ years of relevant professional experience
  • 4+ years health insurance actuarial experience (managed care preferred)
  • Associate of the Society of Actuaries (ASA) required
  • Expert-level skills with database, spreadsheet, and analytical software
  • Eligible to work in the US without sponsorship (no mention of sponsorship)

TECH STACK

  • Excel
  • Access
  • PowerPoint
  • Power_BI
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Role Summary

Loading...

HIGHLIGHTS

A hands-on Medicare Actuary role within a health insurance company in New York. You will lead pricing, forecasting, and bid development for Medicare Advantage, Part D, and EGWP products, working end-to-end through bid season. The role involves owning actuarial components of annual bids, delivering regular forecasting, and performing experience studies to inform product strategy and financial performance.

JOB DESCRIPTION SUMMARY

  • Own actuarial components of MA/Part D/EGWP bid submissions
  • Deliver pricing scenarios and experience analytics to business partners
  • Produce regular forecasting with clear variance analysis
  • ASA required; 5–8+ years of experience with 4+ in health insurance
  • Hybrid role based in New York, New York

DOMAIN EXPERTISE

  • Medicare Advantage bid pricing
  • Part D bid development
  • Experience study analytics
  • CMS regulation landscape

KEY REQUIREMENTS

  • 5–8+ years of relevant professional experience
  • 4+ years health insurance actuarial experience (managed care preferred)
  • Associate of the Society of Actuaries (ASA) required
  • Expert-level skills with database, spreadsheet, and analytical software
  • Eligible to work in the US without sponsorship (no mention of sponsorship)

TECH STACK

  • Excel
  • Access
  • PowerPoint
  • Power_BI

Staff Actuary - Medicare - Health Insurance

EmblemHealth

Health/Insurer/IC Level
EmblemHealth

Staff Actuary - Medicare - Health Insurance

EmblemHealth
New York, New York, United States•2h ago
HybridMedicare AdvantageMedicare SupplementHealth Other

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Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$110k - $130k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA with 5–8 years of experience, including 4+ in health/managed care Medicare pricing. You are a hands-on builder who enjoys owning the bid process and using experience analytics to drive pricing and product strategy.

ASA

Benefits

Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$110k - $130k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA with 5–8 years of experience, including 4+ in health/managed care Medicare pricing. You are a hands-on builder who enjoys owning the bid process and using experience analytics to drive pricing and product strategy.

ASA

Benefits

Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."