This position will be responsible for developing actuarial models and performing actuarial analysis for the Pricing, Forecasting or Valuation departments of the Actuarial division.
Oversee the retrieval and preparation of data to be used in model development.
Monitor emerging experience and analyze actual vs. expected results, focusing on identifying actionable information and present results of analysis and make recommendations to actuarial management and external workgroups.
Develop or oversee the development and maintenance of models to be used for pricing, forecasting, or valuation of the Commercial and Government lines of business.
Prepare documentation of methods and assumptions used in the models and experience monitoring and hire, develop, motivate, train and mentor junior team members.
Pricing and analysis for Senior Care Division lines of business, including Medicare Advantage, Dual Special Needs Plans, and Medicare Supplement.
Participate in CMS bid and financial audits. Review bid pricing tools and bid pricing assumptions.
Determine trend assumptions for forecasting and pricing.
Incorporate CMS data sources where appropriate to aid leadership in determining market position and outlier status.
Review CMS proposed and implemented regulatory changes for impact to product design and profitability.
Bachelors Degree in Actuarial Science, Mathematics, Statistics or related field
4 years - Professional actuarial experience required
ASA or near ASA
Ability to quickly take complex technical subjects and distill them into user-friendly presentations and digital communications.
Proven analytical and problem solving skills and ability to perform non-routine analytical tasks
Excellent time and project management skills
Proven ability to maintain confidentiality and demonstrate a high level of discretionary decision-making
2 years of experience in Medicare Advantage Part C and D pricing and bid development.
Expertise in Part D and Prescription Drug Event data
Internal Number: R-25504
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