Providence Health Plan · 23 hours ago

Senior Actuarial Analyst, Medicare Bid Remote

Portland, OR

Full-time

Remote

Senior Level

$39.32/hr - $62.25/hr

5+ years exp

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Responsibilities

Developing and implementing bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performance

Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements

Collaborating with product, market, executive, and other cross-functional teams to incorporate market trends, competitive analysis, and organizational goals into pricing decisions.

Developing key inputs and/or assumptions in support of the annual Medicare Advantage bid

Conducting sensitivity analyses and scenario testing to assess the impact of various factors on bid pricing outcomes

Analyzing and interpreting healthcare claims data, enrollment data, and other relevant information to identify trends and patterns

Working closely with data analysts and actuaries to ensure the accuracy and completeness of data used in the pricing process

Staying informed of changes in risk adjustment methodologies and assess their implications for pricing and financial performance

Generating regular reports for senior management, highlighting key performance indicators and providing insights into financial results

Analyzing large datasets to identify trends, patterns, and areas for improvement in pricing methodologies

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Actuarial modelsMedicare Advantage regulationsRisk adjustment methodologiesHealthcare actuarial experienceSQLProject management skillsStatisticsMathematicsFinanceAssociate of the Society of ActuariesMedicare Bid experience