One of the largest non-profit health insurers in the country is seeking an ASA to support pricing, forecasting, and bid development across Medicare Advantage (MA), Part D, and EGWP products.
This individual will play a key role in annual bid development, financial forecasting, experience analysis, and strategic decision-making related to Medicare products.
Key Responsibilities:
- Support the development of annual Medicare Advantage and Part D bids.
- Develop and maintain pricing assumptions, including trend, risk adjustment, administrative expenses, and margin targets.
- Analyze and model the financial impact of benefit and product design changes.
- Partner with cross-functional stakeholders to evaluate and price strategic initiatives.
- Monitor CMS guidance and industry developments to assess impacts on pricing and bid assumptions.
- Develop and maintain Medicare financial forecasts.
- Analyze key drivers of performance and communicate risks and opportunities to leadership.
- Evaluate variances against budget and projections and provide actionable recommendations.
- Support long-term planning and strategic decision-making through financial modeling and scenario analysis.
Qualifications
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Finance, or a related field.
- ASA designation
- 4-6+ years of health actuarial experience.
- Strong analytical, modeling, and forecasting skills.
- Ability to communicate complex actuarial concepts to both technical and non-technical audiences.
- Proven ability to work collaboratively across actuarial, finance, product, and operational teams.
Preferred Experience
- Medicare Advantage bid development.
- Part D and/or EGWP pricing experience.
- Financial forecasting and experience studies.
- Risk adjustment and Medicare product analytics.
- Process improvement and automation initiatives.
Health Senior Actuarial Associate in United States at Selby Jennings
This position is listed as full time and onsite. It was posted 3 days ago.