Medicare Pricing Assistant Actuary I (Hybrid)

Independence Blue Cross; Philadelphia (Philadelphia County); Hybrid; USD 80,000 - 100,000; Full time

Job summary

A leading health insurance organization is seeking an experienced Assistant Actuarial I (Medicare) to support pricing, forecasting, and strategic analysis of Medicare products. This role requires 5+ years of actuarial experience with a focus on Medicare pricing and a relevant degree. The candidate will collaborate with cross-functional teams while contributing to compliance and the financial success of government programs. This is a hybrid position based in the Tri-State Area.

Qualifications

• 5+ years of actuarial experience focusing on Medicare pricing.
• Familiarity with CMS bid process and regulatory requirements.
• Demonstrated ability to work independently.

Responsibilities

• Support the development and pricing of Medicare Advantage and Part D products.
• Assist in preparing annual CMS bid submissions.
• Evaluate historical claims and utilization data.

Skills

Medicare pricing

Analytical skills

Proficiency in Excel

SQL

Communication skills

Collaboration

Education

Bachelor’s degree in Actuarial Science, Mathematics, Statistics

Fellow or Associate of the Society of Actuaries (SOA)

Job description

A leading health insurance organization is seeking an experienced Assistant Actuarial I (Medicare) to support pricing, forecasting, and strategic analysis of Medicare products. This role requires 5+ years of actuarial experience with a focus on Medicare pricing and a relevant degree. The candidate will collaborate with cross-functional teams while contributing to compliance and the financial success of government programs. This is a hybrid position based in the Tri-State Area.