Job Title : Senior Actuarial Analyst(Medicare Bid)
Job Type : Full-Time
Job Location : 100% Remote
Salary : USD $81,785 to $129,480
Job Description :
Our hospital's Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will :
- Be responsible for developing and maintaining actuarial models, analyzing data, and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans
- Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong analytical background.
- Be instrumental in developing and executing pricing strategies, ensuring compliance with regulatory guidelines, and providing critical insights to enhance the performance of our Medicare Advantage plans
Please note the following important detail regarding this role :
This position is affiliated with the hospital's Health Plan and will be tied to a location and compensation range in Portland, Oregon
our Health Plan welcomes remote work for residents who reside in one of the following states :
Washington
Oregon
California
Responsibilities may include :
Developing and implementing bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performanceAnalyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirementsCollaborating with product, market, executive, and other cross-functional teams to incorporate market trends, competitive analysis, and organizational goals into pricing decisions.Developing key inputs and / or assumptions in support of the annual Medicare Advantage bidConducting sensitivity analyses and scenario testing to assess the impact of various factors on bid pricing outcomesAnalyzing and interpreting healthcare claims data, enrollment data, and other relevant information to identify trends and patternsWorking closely with data analysts and actuaries to ensure the accuracy and completeness of data used in the pricing processStaying informed of changes in risk adjustment methodologies and assess their implications for pricing and financial performanceGenerating regular reports for senior management, highlighting key performance indicators and providing insights into financial resultsAnalyzing large datasets to identify trends, patterns, and areas for improvement in pricing methodologies
Required qualifications for this position include :
Bachelor's Degree in Statistics, Mathematics, Actuarial, Finance, or another related field of studySuccessful completion of 4 exams of the Associate of the Society of Actuaries (ASA) designation5 years of healthcare actuarial experience2 years of actuarial experienceExperience with writing queries in SQL or another programming languageDemonstrated experience applying project management skills in data-related and financial analysis projectsPreferred qualifications for this position include :
Associate of the Society of Actuaries (ASA) designationFellow or Associate in the Society of Actuaries (FSA or ASA)2 years of Medicare Bid experience
Salary : $81,785 - $129,480
