Medicare Actuary
Core
Develops, manages, and evaluates actuarial models for Medicare Advantage and Part D Employer Group Waiver Program pricing, benefit design, CMS revenue, and risk adjustment.
Role type
Senior Medicare Actuary (MAPD/PDP EGWP)
Builds
Pricing models, benefit designs, and financial forecasts for Federal Employee Program Medicare Advantage and Part D
Domain
US Healthcare / Medicare Actuarial
Required skills
Medicare Advantage/Part D expertise, CMS payment models, RAF/HCC analytics, trend analysis, forecasting, rate filings, financial analysis, SQL, SAS, R, Visual Basic, Microsoft Office Suite
Preferred skills
AI literacy, generative AI tools understanding
Responsibilities
Develop and maintain actuarial models for pricing and reserving; Analyze financial impact of regulatory changes and competitor behavior; Provide technical support to internal/external customers (OPM, CMS, Congress); Lead actuarial presentations and training sessions; Maintain actuarial credentials
Seniority
Senior, hands-on IC
