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Devoted Health
Devoted Health
1,001 – 5,000 कर्मचारी
समग्र स्वास्थ्यस्वास्थ्य बीमास्वास्थ्य सेवा
Devoted Health एक स्वास्थ्य सेवा और स्वास्थ्य बीमा कंपनी है, जो मेडिकेयर एडवांटेज योजनाओं पर केंद्रित है। इसकी योजनाओं में चिकित्सा कवरेज के साथ दंत चिकित्सा, चश्मे, जिम सदस्यता और प्रिस्क्रिप्शन दवाओं जैसी अतिरिक्त सुविधाएँ शामिल हैं। कंपनी सदस्य सहायता पर भी ज़ोर देती है और लोगों को अपने कवरेज को समझने, स्वास्थ्य संबंधी ज़रूरतों को संभालने तथा उपलब्ध सेवाओं तक पहुँचने में मदद करती है। Devoted Health का काम स्वास्थ्य बीमा और कल्याण के क्षेत्रों तक फैला हुआ है, जिसका उद्देश्य सुविधाओं का उपयोग आसान बनाना और सदस्यों की स्वास्थ्य व वित्तीय ज़रूरतों का समर्थन करना है।
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कंपनी की नौकरियाँ

Senior Medicare Advantage Pricing Actuary

Lead Medicare Advantage bid strategy, pricing models, and CMS submissions at Devoted Health. Help improve care for older Americans through data-driven healthcare.

USसंयुक्त राज्य
$1,75,000 – $2,50,000 / वर्ष
रिमोटपूर्णकालिकवरिष्ठलीडआवश्यक भाषा: अंग्रेज़ीबीमांकक
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विवरण

  • Lead the development, modeling, and submission of annual Medicare Advantage Part C and Part D bids.
  • Ensure bids comply with CMS guidance and meet statutory deadlines.
  • Work with product, clinical, and local market leaders to shape competitive benefit packages.
  • Set, support, and document actuarial assumptions for bids.
  • Develop, improve, and maintain scalable bid pricing models.
  • Test scenarios and sensitivities for changes in CMS payment policy, risk models, benchmarks, and competition.
  • Review CMS Call Letters, Bid Instructions, and Rate Announcements, translating updates into model changes and guidance for executives.
  • Coordinate with Finance, Healthcare Economics, Clinical Operations, and Network Management.
  • Work with data engineering and analytics teams to maintain the quality of claims, enrollment, and risk adjustment data.
  • Present bid strategy, financial returns, and risk profiles to executives, board members, and regulatory reviewers.

आवश्यकताएँ

  • At least 8 years of progressive healthcare actuarial experience.
  • At least 5 years focused directly on Medicare Advantage bid pricing, plan design, and CMS bid submissions.
  • A track record of completing complex, time-sensitive projects on schedule.
  • Advanced skills in actuarial modeling, claims data extraction, and financial modeling tools such as SQL, Python, R, SAS, or advanced Excel.
  • Strong knowledge of Medicare Advantage pricing, including Part D direct subsidy and benefit design, CMS-HCC and RxHCC risk adjustment, Star Ratings financial impacts, and benchmark calculations.
  • Excellent interpersonal skills and demonstrated cross-functional collaboration experience.
  • ASA, FSA, or MAAA credentials are optional; equivalent practical expertise and bid leadership experience are recognized.
  • Experience working with reserving, underwriting, risk adjustment operations, or medical economics functions.
  • Ability to work in a fast-paced, high-growth environment.

लाभ

  • Employer-sponsored health, dental, and vision coverage with low or no premiums.
  • Generous paid time off.
  • $100 monthly mobile or internet stipend.
  • Stock options for all employees.
  • Bonus eligibility for roles below Director.
  • Parental leave program.
  • 401(k) program.

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