Senior MA Pricing Actuary & Bid Strategist

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

Benefits offered by this job

Health, dental, and vision plan

Generous paid time off

$100 monthly mobile stipend

Stock options

Bonus eligibility

Parental leave

401K program

Job summary

Devoted Health seeks a Pricing Actuary to lead end-to-end Medicare Advantage bid development, modeling, and submission. You will collaborate across product, clinical, and market teams to design competitive benefit pricing and assess risk adjustment, while ensuring compliance with CMS guidelines and tight deadlines.

We value deep actuarial expertise, a proven track record in MA bid leadership, and the ability to drive accurate, timely decisions in a fast-paced environment.

Qualifications

• 8+ years of progressive healthcare actuarial experience, with 5+ years in Medicare Advantage bid pricing, plan design, and CMS bid submission.
• Proven track record of delivering complex, time-sensitive MA bids on schedule.
• Advanced proficiency in actuarial modeling, claims data extraction, and financial modeling tools.

Responsibilities

• Annual Bid Leadership: Direct end-to-end development, modeling, and submission of MA bids, ensuring CMS guidelines and deadlines.
• Product & Benefit Pricing Strategy: Collaborate with product, clinical, and market leaders on benefit design and cost-sharing decisions.
• Assumption Development: Define bid assumptions including utilization, unit costs, risk adjustment, admin expense, and margins.
• Actuarial Modeling & Automation: Build and maintain scalable bid pricing models with governance and repeatable execution.
• Sensitivity & Scenario Analysis: Run scenario tests on CMS policy changes and market dynamics.
• CMS Regulatory Translation: Interpret CMS calls, instructions, and announcements into actionable modeling changes.
• Cross-Functional Collaboration: Align with Finance, Healthcare Economics, Clinical Ops, and Network Management.
• Data Integration & QA: Ensure integrity of historical claims, enrollment, and risk data used in models.
• Executive & Regulatory Presentation: Prepare leadership-ready summaries of bid strategy and risk.

Skills

Actuarial modeling

Claims data extraction

SQL

Python

R

SAS

Excel modeling

Education

Actuarial credentials (ASA/FS)

Tools

CMS regulations

Job description

Devoted Health seeks a Pricing Actuary to lead end-to-end Medicare Advantage bid development, modeling, and submission. You will collaborate across product, clinical, and market teams to design competitive benefit pricing and assess risk adjustment, while ensuring compliance with CMS guidelines and tight deadlines.

We value deep actuarial expertise, a proven track record in MA bid leadership, and the ability to drive accurate, timely decisions in a fast-paced environment.