LogoFresh Jobs Ahead
Devoted Health
Devoted Health
1,001 – 5,000 Employees
HealthcareHealthcare InsuranceWellness
Devoted Health is a healthcare and health insurance company focused on Medicare Advantage plans. Its offerings combine medical coverage with additional benefits such as dental care, eyewear, gym memberships, and prescription drugs. The company also emphasizes member support, helping people understand their coverage, manage healthcare needs, and access available services. Devoted Health’s work spans healthcare insurance and wellness, with a focus on making benefits easier to use while supporting members’ health and financial needs.
LinkedIn
Company Jobs

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.

USUnited States
$175,000 – $250,000 / year
RemoteFull-timeSeniorLeadEnglish RequiredActuary
PythonSQL

Description

  • 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.

Requirements

  • 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.

Benefits

  • 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.

Related Jobs

Central Insurance

Senior Actuarial Analyst — Remote, United States

Central Insurance
501 – 1,000 Employees
B2BB2CInsurance
USUnited States
$102,000 – $140,000 / year
RemoteFull-timeSeniorEnglish RequiredActuary
PythonSQLVBA

Support pricing, rate filings, and peer reviews for Central Insurance’s property and casualty business. Work with actuarial data and code while contributing to rate indications and process improvements.

Open
The Standard

Actuarial Developer II, Reporting and Analytics — The Standard (Oregon Remote)

The Standard
1,001 – 5,000 Employees
ConsultingHealthcareLegal
USUnited StatesOROregon
$109,750 – $160,500 / year
RemoteFull-timeMiddleSeniorEnglish RequiredActuary
PythonSQL

Advance The Standard’s actuarial reporting and pricing technology as an Actuarial Developer II. Lead adoption of its Actuarial Technology Platform, build Databricks solutions, and apply AI tools to modernize analytics and legacy processes.

Open