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Devoted Health
Devoted Health
1 001 – 5 000 Xodimlar
FarovonlikSog‘liqni saqlashTibbiy sug‘urta
Devoted Health Medicare Advantage rejalariga e’tibor qaratadigan sog‘liqni saqlash va tibbiy sug‘urta kompaniyasidir. Kompaniyaning takliflari tibbiy qamrovni stomatologik yordam, ko‘zoynak, sport zaliga a’zolik va retsept bo‘yicha beriladigan dorilar kabi qo‘shimcha imtiyozlar bilan birlashtiradi. Shuningdek, kompaniya a’zolarga sug‘urta qamrovini tushunish, sog‘liq bilan bog‘liq ehtiyojlarini boshqarish va mavjud xizmatlardan foydalanishda yordam berib, a’zolarni qo‘llab-quvvatlashga katta ahamiyat beradi. Devoted Health tibbiy sug‘urta va salomatlik sohalarida faoliyat yuritib, a’zolarning sog‘lig‘i va moliyaviy ehtiyojlarini qo‘llab-quvvatlash bilan birga imtiyozlardan foydalanishni osonlashtirishga e’tibor qaratadi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma Shtatlari
175 000 $ – 250 000 $ / yil
MasofaviyTo‘liq stavkaSeniorYetakchiTalab Qilinadigan Til: inglizchaAktuariy
PythonSQL

Tavsif

  • 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.

Talablar

  • 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.

Imtiyozlar

  • 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.

O‘xshash ish o‘rinlari

Blue Cross Blue Shield of Arizona

Actuarial Analyst I, Pricing and Rate Filings — Arizona Remote

Blue Cross Blue Shield of Arizona
1 001 – 5 000 Xodimlar
H1B vizasi homiysiKonsaltingLogistikaSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariAZArizonaMasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaAktuariy

Support health insurance pricing and forecasting through actuarial analysis and rate filings for Blue Cross Blue Shield of Arizona. Help assess product profitability, coverage affordability, and regulatory compliance.

Ochish
The Standard

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

The Standard
1 001 – 5 000 Xodimlar
HuquqKonsaltingSog‘liqni saqlash
USAmerika Qo‘shma ShtatlariOROregon
109 750 $ – 160 500 $ / yil
MasofaviyTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaAktuariy
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.

Ochish