Actuarial Lead Analyst - Medicare

$84,900 - $141,500/Yr

Cigna - Philadelphia, PA

Full-time - Mid Level

Hybrid - Philadelphia, PA

5,001-10,000 employees

Insurance Carriers and Related Activities

About the position

The Actuarial Lead Analyst for Medicare at Cigna Healthcare is responsible for performing actuarial analyses related to the Medicare Advantage business. This role involves medical expense analyses, financial forecasts, bid development, and regulatory filings, with a primary focus on Medicare pricing and supporting documentation. The analyst will communicate results to management and associates, ensuring accurate and effective actuarial modeling and analysis.

Responsibilities

• Perform actuarial analyses for Medicare Advantage business, including medical expense analyses and projections.
• Develop financial forecasts and Medicare Part C bid documentation.
• Support cross-market review of bids and develop/update supporting forecasting and analyses.
• Apply analytical methods using mathematical and statistical models in bid modeling and financial analyses.
• Complete ad hoc assessments and projects for corporate-wide or market-specific initiatives.
• Communicate results of analyses to senior actuarial team members.
• Participate in team meetings and present on specific topics as needed.
• Own the methodology and development of actuarial assumptions used in bid pricing.
• Present results to various matrix partners.

Requirements

• Bachelor's Degree in Actuarial Science, Economics, Mathematics, or related field strongly preferred.
• 3+ years of actuarial/data analytics experience.
• Actively progressing through Society of Actuaries exams strongly preferred.
• Strong technical skills in Excel.
• Strong mathematical, financial, and statistical skills.
• Detail-oriented with the ability to work independently with minimal supervision.
• Strong communication and presentation skills; written/verbal proficiency.
• Ability to identify problem areas and implement solutions.
• Healthcare/Medicare bid experience strongly preferred.
• Proficiency in SQL preferred.

Nice-to-haves

• Experience with healthcare data analytics.
• Familiarity with regulatory (CMS) filings.

Benefits

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid holidays
• Paid time off
• Smoking cessation program
• Tuition reimbursement
• Minimum of 18 days of paid time off per year