Lead Medicare Advantage Bid Pricing Actuary

Devoted; United States; Remote; USD 175,000 - 250,000; Full time

Benefits offered by this job

Health plan

Paid time off

Mobile stipend

Stock options

Bonus eligibility

parental leave

401K

Job summary

Devoted Health is seeking a Pricing Actuary to lead Medicare Advantage bid strategy, modeling, and timely submission in a high-stakes, regulated environment. You will own core assumptions, develop scalable pricing models, and translate CMS changes into executive guidance.

You will collaborate with Finance, Clinical Operations, and Market Leaders to ensure bids reflect operational realities and clinical programs, while delivering precise results under deadlines.

Qualifications

• 8+ years of progressive healthcare actuarial experience with 5+ years focused on MA bid pricing and CMS submission.
• Proven ability to hit regulatory deadlines with accurate, timely bids.
• Deep knowledge of Medicare Advantage pricing mechanics and risk adjustment models.
• Experience in cross-functional collaboration with product, clinical, finance, and leadership.

Responsibilities

• Medicare Advantage Bid Strategy & Execution.
• Annual Bid Leadership: end-to-end development, modeling, and submission with CMS compliance.
• Product & Benefit Pricing Strategy in collaboration with market leaders.
• Assumption Development for utilization, costs, risk, and margins.
• Actuarial Modeling & Automation across expanding markets.
• Sensitivity & Scenario Analysis for CMS policy changes.
• CMS Regulatory Translation into actionable modeling adjustments.
• Cross-Functional Partnership across Finance, Clinical Ops, and Network Mgmt.
• Data Integration & QA for bid data quality.
• Executive & Regulatory Presentations on strategy and risk.

Skills

Medicare Advantage bid pricing

Regulatory deadlines

SQL

Python

R

SAS

Advanced Excel modeling

Cross-functional leadership

CMS risk adjustment models

Education

Actuarial credentials ASA or FSA

Tools

SQL

Python

R

SAS

Excel

Job description

Devoted Health is seeking a Pricing Actuary to lead Medicare Advantage bid strategy, modeling, and timely submission in a high-stakes, regulated environment. You will own core assumptions, develop scalable pricing models, and translate CMS changes into executive guidance.

You will collaborate with Finance, Clinical Operations, and Market Leaders to ensure bids reflect operational realities and clinical programs, while delivering precise results under deadlines.