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USAJOBS · 1 month ago

Actuary

Woodlawn, Maryland, USA

Full-time

Hybrid

Mid, Senior Level

$142K/yr - $185K/yr

1+ years exp

USAJOBS is seeking an Actuary for the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary. The role involves serving as a technical and actuarial expert for modeling Medicare and/or Medicaid program rates, analyzing and evaluating Medicare Advantage and Medicare Part D prescription drug benefit annual bids.

ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency

No H1B

U.S. Citizen Only

Responsibilities

Develops actuarial models, studies, and analyses for Medicare Part C and Part D cost estimates for the Chief Actuary; Group Directors and Deputy Group Directors in OACT, senior level staff in CMS, HHS, OMB, other actuaries and analysts

Development of actuarial data and estimates for notices issued by CMS or HHS, development and modification of databases used in determination of Part C and Part D estimates

Provides technical and actuarial expertise in the preparation of capitation payment rates required by law for Medicare Advantage Program and program rates required by law for Medicare Part C and Part D programs

Develops and/ or presents materials related to the completion of MA and Part D plan bid forms and responds to industry questions/contractor questions

Provides technical and actuarial expertise in the preparation of cost estimates and support material for Medicare and/or Medicaid programs for each stage of the budget cycle for use in the President's budget

Qualification

Actuarial scienceMathematicsCost estimationTechnical work experienceData analysisInterpersonal skillsProblem solvingFlexibility

Required

A bachelor's degree that included courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science totaling at least 24 semester hours

This course work must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites

Technical work experience in actuarial support work or in mathematics

Completion of a minimum of 24 semester hours of courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science at a four year college or university

TRANSCRIPTS are required to verify satisfactory completion of the educational requirement listed above

You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government

Providing actuarial guidance in the review, analysis, and or development of pricing methods/data for Medicare Advantage (MA) and Prescription Drug (Part D) bid submissions

Developing, operating, or maintaining programs related to cost estimates for health care programs

Analyzing, interpreting, or communicating actuarial data and information

You must be a U.S. Citizen or National to apply for this position

You will be subject to a background and suitability investigation

Time-in-Grade restrictions apply