Senior Actuarial Analyst, Medicare Bid *Remote*

$81,786 - $129,480/Yr

Providence

Full-time - Mid Level

Remote

10,001+ employees

Hospitals

About the position

The Senior Actuarial Analyst, Medicare Bid at Providence Health Plan is responsible for developing and maintaining actuarial models, analyzing data, and providing strategic insights to support the pricing and bidding process for Medicare Advantage plans. This role requires a deep understanding of Medicare Advantage regulations and risk adjustment methodologies, along with strong analytical skills to enhance the performance of the plans. The position allows for remote work for residents in specific states, while being tied to a location in Portland, Oregon.

Responsibilities

• Developing and implementing bid pricing strategies for Medicare Advantage plans.
• Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements.
• Collaborating with cross-functional teams to incorporate market trends and organizational goals into pricing decisions.
• Developing key inputs and assumptions for the annual Medicare Advantage bid.
• Conducting sensitivity analyses and scenario testing for bid pricing outcomes.
• Analyzing healthcare claims and enrollment data to identify trends and patterns.
• Ensuring the accuracy and completeness of data used in the pricing process.
• Staying informed of changes in risk adjustment methodologies and their implications for pricing.
• Generating reports for senior management on key performance indicators and financial results.
• Analyzing large datasets to identify trends and areas for improvement in pricing methodologies.

Requirements

• Bachelor's Degree in Statistics, Mathematics, Actuarial, Finance, or a related field.
• Successful completion of 4+ exams of the Associate of the Society of Actuaries (ASA) designation.
• 5+ years of healthcare actuarial experience.
• 2+ years of actuarial experience.
• Experience with writing queries in SQL or another programming language.
• Demonstrated experience applying project management skills in data-related and financial analysis projects.

Nice-to-haves

• Associate of the Society of Actuaries (ASA) designation.
• Fellow or Associate in the Society of Actuaries (FSA or ASA).
• 2+ years of Medicare Bid experience.

Benefits

• 401(k) Savings Plan with employer matching
• Health care benefits (medical, dental, vision)
• Life insurance
• Disability insurance
• Paid parental leave
• Vacation and holiday time off
• Voluntary benefits
• Well-being resources