Senior Actuary - Medicare Part D Pricing

Independence Blue Cross; Philadelphia (Philadelphia County); Hybrid; USD 140,000 - 200,000; Full time

Job summary

A healthcare company is seeking a Senior Actuary to join their Government Markets team in Philadelphia. The ideal candidate will focus on Medicare Part D pricing, owning the design and development of pricing models, forecasting, and strategic decision-making. A Bachelor's degree in Actuarial Science, 6+ years of actuarial experience, and ASA designation are required. This role follows a hybrid work model, requiring on-site work three days a week and remote work for two days.

Qualifications

• 6+ years of actuarial experience with focus on Medicare Part D pricing or pharmacy analytics.
• Demonstrated experience in building and validating actuarial models.
• Strong experience with detailed healthcare claims data.

Responsibilities

• Own design, development, and maintenance of Part D pricing models.
• Translate complex Part D benefit designs into model logic.
• Lead reconciliation of model results to financial forecasts.
• Establish modeling standards and validation frameworks.
• Monitor regulatory developments and assess financial implications.
• Present modeling results to actuarial leadership and management.

Skills

Medicare Part D pricing

Excel

SQL

R

SAS

Healthcare claims data

Communication skills

Education

Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related field

Associate of the Society of Actuaries (ASA) designation

Job description

A healthcare company is seeking a Senior Actuary to join their Government Markets team in Philadelphia. The ideal candidate will focus on Medicare Part D pricing, owning the design and development of pricing models, forecasting, and strategic decision-making. A Bachelor's degree in Actuarial Science, 6+ years of actuarial experience, and ASA designation are required. This role follows a hybrid work model, requiring on-site work three days a week and remote work for two days.