Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve.
We are seeking an experienced Assistant Actuarial I (Medicare) professional with a strong background in Medicare pricing to join our Government Markets team. This role is ideal for candidates who have hands-on experience with Medicare Advantage and/or Part D bid development and are looking to apply their expertise in a collaborative, fast-paced environment. The successful candidate will play a key role in supporting the pricing, forecasting, and strategic analysis of our Medicare products, ensuring compliance with CMS requirements and contributing to the financial success of our government programs.
Key Responsibilities:
Support the development and pricing of Medicare Advantage and Part D products.
Assist in preparing annual CMS bid submissions, including benefit design, cost projections, and revenue estimates.
Evaluate historical claims and utilization data to support the pricing of benefit differentials and cost-sharing structures across Medicare plan designs.
Collaborate with cross-functional teams, including finance, underwriting, and product development, in support of pricing analyses and corporate strategy and forecasts.
Monitor regulatory changes and assess their impact on pricing and profitability.
Contribute to actuarial models and tools used for bid development and scenario analysis.
Present findings and recommendations to actuarial leadership and business partners.
Qualifications:
Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a related field.
5+ years of actuarial experience, with a focus on Medicare pricing.
Fellow or Associate of the Society of Actuaries (SOA).
Familiarity with CMS bid process and regulatory requirements.
Strong analytical and problem-solving skills.
Proficiency in Excel and SQL.
Excellent communication and collaboration skills.
Preferred Experience:
Experience with Medicare Advantage and/or Part D actuarial models.
Understanding of risk adjustment and revenue forecasting.
Demonstrated ability to work independently and drive projects forward with minimal oversight.
Proven track record of taking initiative, managing competing priorities, and delivering high-quality work in a deadline-driven environment
Hybrid:
Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
...Culinaire We have an opening for a part time BARTENDER position. Location: Benedum Theater - 237 7th Street, Pittsburgh, PA 15222 Note: online applications accepted only. Schedule : Part time schedule. Days and nights, hours may vary. More details upon interview...
...Health Insurance, Lunch Provided, Sick Leave, Paid Vacation, Retirement (401k), Transportation Benefits, Vision Plans Visa Sponsor H1B, Green Card Qualifications Education College's Degree Career N / A Preference Bi-Lingual, Fluent in Korean,...
...Lead Fulfillment Associate The Amazon operations team is looking for Lead Fulfillment Associates with a strong record of achieving results to join the expanding team supporting operations leaders and associates in delivering strong operations results within our fulfillment...
Larimer Law in Upstate, NY is hiring remote Attorneys for new matters. THE COMPANY: Larimer Law, PLLC, has offices in Rochester and... ...attorneys who are trained and experienced in electronic document review, information governance and data management. Our company works...
...Buckingham is seeking an intern who is interested in gaining experience and knowledge in a variety of areas within the Healthcare and Human Resources functions. In this position, the intern will assist with the day-to day functioning of the Skilled Nursing Healthcare and HR...