Medicare Actuary / Associate Actuary

Selby Jennings; United States; On-site; USD 120,000 - 160,000; Full time

Job summary

Selby Jennings is seeking an ASA to support pricing, forecasting, and bid development across Medicare Advantage (MA), Part D, and EGWP products. The role focuses on annual bid development, forecasting, experience analysis, and strategic decision-making for Medicare products.

Collaboration with actuarial, finance, product, and operations teams is essential. The ideal candidate has 4–6+ years of health actuarial experience, strong analytical and modeling skills, and the ability to communicate

Qualifications

• Bachelor's degree in a related field such as Actuarial Science, Mathematics, Statistics, Economics, or Finance.
• 4-6+ years of health actuarial experience.
• Strong analytical, modeling, and forecasting skills.
• Ability to communicate complex actuarial concepts to both technical and non-technical audiences.
• Proven ability to collaborate across actuarial, finance, product, and operational teams.

Responsibilities

• Support the development of annual Medicare Advantage and Part D bids.
• Develop and maintain pricing assumptions including trend, risk adjustment, expenses, and margins.
• Analyze and model the financial impact of benefit and product design changes.
• Partner with cross-functional stakeholders to price strategic initiatives.
• Monitor CMS guidance and industry developments to assess pricing impacts.
• Develop and maintain Medicare financial forecasts.
• Analyze drivers of performance and communicate risks and opportunities to leadership.
• Evaluate variances against budget and projections with actionable recommendations.
• Support long-term planning and strategic decision-making through financial modeling and scenario analysis.

Skills

Pricing

Forecasting

Bid development

Actuarial analysis

Education

Bachelor's degree

Job description

One of the largest non-profit health insurers in the country is seeking an ASA to support pricing, forecasting, and bid development across Medicare Advantage (MA), Part D, and EGWP products.

This individual will play a key role in annual bid development, financial forecasting, experience analysis, and strategic decision-making related to Medicare products.

Key Responsibilities:

• Support the development of annual Medicare Advantage and Part D bids.
• Develop and maintain pricing assumptions, including trend, risk adjustment, administrative expenses, and margin targets.
• Analyze and model the financial impact of benefit and product design changes.
• Partner with cross-functional stakeholders to evaluate and price strategic initiatives.
• Monitor CMS guidance and industry developments to assess impacts on pricing and bid assumptions.
• Develop and maintain Medicare financial forecasts.
• Analyze key drivers of performance and communicate risks and opportunities to leadership.
• Evaluate variances against budget and projections and provide actionable recommendations.
• Support long-term planning and strategic decision-making through financial modeling and scenario analysis.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Finance, or a related field.
• 4-6+ years of health actuarial experience.
• Strong analytical, modeling, and forecasting skills.
• Ability to communicate complex actuarial concepts to both technical and non-technical audiences.
• Proven ability to work collaboratively across actuarial, finance, product, and operational teams.

Preferred Experience

• Part D and/or EGWP pricing experience.
• Financial forecasting and experience studies.
• Risk adjustment and Medicare product analytics.
• Process improvement and automation initiatives.