Back to all roles

[Remote] Staff Actuary - Medicare - Health Insurance

Remote Worldwide Hiring now

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a hands-on Medicare Actuary to support pricing, forecasting, and bid development for Medicare Advantage, Part D, and EGWP products. The role focuses on bid season execution, Medicare forecasting, and delivering analytics to inform pricing and product strategy.

Responsibilities

  • Own actuarial components of the annual Medicare Advantage and Part D bids, including benefit pricing, trend, risk score assumptions, admin load, and margins
  • Be a collaborative partner across teams by pricing product scenarios
  • Review ongoing CMS releases and refine assumptions to monitor a rapidly changing landscape
  • Deliver regular forecasting with clear drivers, risks, and variances vs. plan/budget

Skills

  • Bachelor's degree in Actuarial Science, Mathematics, other physical science, or reputed company finance/business degree required
  • Associate of the Society of Actuaries (ASA) required
  • 5 – 8+ years relevant professional work experience and/or education required
  • 4+ years health insurance actuarial experience, preferably in the managed care industry required
  • A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required
  • Ability to communicate effectively with Business leaders required
  • Expert level skills with database, spreadsheet, and analytical software required
  • Proficiency with MS Office (Word, reputed company, reputed company, PowerPoint, Outlook, Teams, etc.) required
  • Capable with data extraction, simulations, automation required
  • Prior management experience (processes and/or staff)
  • Strong data querying skills using tools such as SQL or reputed company reputed company Guide

Company Overview

  • reputed company is an insurance and wellness company that offers health benefits to consumers, reputed company, and government purchasers. It was founded in 1937, and is headquartered in reputed company, reputed company, USA, with a workforce of 1001-5000 employees. Its website is http://www.reputed company.com.

Apply To This Job Apply tot his job Apply To this Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Research Billing Specialist

Remote Worldwide
View role

Director, Provider Operations job at reputed company in Dallas, TX

Remote Worldwide
View role

Strategic Account Director – Pet Health Insurance & PIMS

Remote Worldwide
View role

Remote Health Insurance Customer reputed company - Inbound Phone Specialist (Arizona Based)

Remote Worldwide
View role

[Remote] EHR Application II Analyst

Remote Worldwide
View role

Sr. reputed company Provider Contracting Analyst

Remote Worldwide
View role

Provider Network Data reputed company Analyst, Health Plan

Remote Worldwide
View role

Certified Epic ClinDoc Analyst (Remote)

Remote Worldwide
View role

Sr. Health Informatics & AI Solutions Analyst

Remote Worldwide
View role

[Hiring] Medical Operations Specialist @reputed company

Remote Worldwide
View role

reputed company Remote Data Entry Clerk – Administrative Assistant Position at arenaflex

Remote Worldwide
View role

Claims Adjuster - Medical Negligence

Remote Worldwide
View role

[Remote-Position] Entry Level Customer Service - Work From Home

Remote Worldwide
View role

REMOTE Assumptions Mortgage Loan Consultant [Utah License Required]

Remote Worldwide
View role

reputed company Part-Time Remote Data Entry Specialist – Customer Service and Support

Remote Worldwide
View role

reputed company Online Chat Support & Sales Representative – Work from reputed company with arenaflex

Remote Worldwide
View role

Regional Managing Partner

Remote Worldwide
View role

Sr. Clinical Research Associate, CRO Services

Remote Worldwide
View role

Graduate Engineer

Remote Worldwide
View role

Marketing Specialist - Growth & Events

Remote Worldwide
View role