Job Description
Job Description
Job Summary:
This role will support the actuarial bid pricing process for joint venture Medicare lines of business, in addition to providing detailed forecasts, conducting and tracking profitability analyses, and authoritatively communicating results and providing reporting to stakeholders and senior leadership.
Responsibilities:
- Support actuarial pricing for the Medicare Advantage bid process and forecasting, working in conjunction with department leadership.
- Support developing a robust suite of internal tools for the bid process, member-level and cohort-level profitability analysis, and detailed forecasting.
- Forecasting and profitability analysis.
- Perform other ad-hoc analyses as requested (examples include assessing the impact of Star rating changes, benefit changes, or other changes).
- Investigate and communicate variances and drivers of forecasts to department leaders.
- Provide strategic thinking regarding the overall business strategy, incorporating product knowledge and broad Medicare Advantage landscape market dynamics.
- Supervise and train junior actuaries as needed.
Education/Experience:
- Bachelor’s degree required, preferably within Mathematics, Statistics, Actuarial Sciences or a related field.
- Requires 5+ years of experience in Medicare Advantage actuarial bid pricing.
Additional licensing, certifications, registrations:
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) preferred.
Knowledge:
- Requires expert knowledge of Excel.
- Requires advanced proficiency with SAS or SQL.
- Requires expert knowledge of Medicare Advantage bid regulations and bid instructions.
- Requires in depth knowledge of the Medicare Advantage industry.
Skills and Abilities:
- Requires excellent oral and written communication skills.
- Requires strong analytical thinking.
- Requires strong mathematical skill and statistical analysis abilities.
- Requires good judgment and problem-solving skills.