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Devoted Health
Devoted Health
1 001 – 5 000 Darbuotojai
Gera savijautaSveikatos draudimasSveikatos priežiūra
Devoted Health yra sveikatos priežiūros ir sveikatos draudimo bendrovė, daugiausia dėmesio skirianti „Medicare Advantage“ planams. Jos pasiūlymuose medicininė draudimo apsauga derinama su papildomomis naudomis, tokiomis kaip dantų priežiūra, regos priežiūra, sporto klubų narystės ir receptiniai vaistai. Bendrovė taip pat pabrėžia narių palaikymą, padėdama jiems suprasti savo draudimo apsaugą, tvarkyti sveikatos priežiūros poreikius ir pasinaudoti prieinamomis paslaugomis. Devoted Health veikla apima sveikatos draudimą ir gerovę, daugiausia dėmesio skiriant tam, kad naudotis draudimo naudomis būtų paprasčiau, o narių sveikatos ir finansiniai poreikiai būtų tinkamai palaikomi.
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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.

USJungtinės Valstijos
175 000 $ – 250 000 $ / metai
NuotolinisVisas etatasVyresnysis specialistasVadovasPrivaloma Kalba: anglųAktuaras
PythonSQL

Aprašymas

  • 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.

Reikalavimai

  • 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.

Privalumai

  • 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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USJungtinės ValstijosAZArizonaNuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAktuaras

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