Phenom Consulting has partnered with a leading healthcare organization to grow their Actuarial team. We are seeking a Senior Actuarial Analyst with experience in the healthcare industry.
What You’ll Do:
Develop and maintain actuarial models, analyzing data, and offering strategic insights to support the pricing and bidding processes for Medicare Advantage plans
Play a key role in crafting and executing pricing strategies, ensuring compliance with regulations, and providing vital insights to improve the performance of our Medicare Advantage plans
Formulate and execute bid pricing strategies with analytical precision to evaluate the financial performance impact of product designs for Medicare Advantage plans, aiming to optimize outcomes.
Interpret regulatory guidelines to ensure compliance with Medicare Advantage bid requirements.
Collaborate with cross-functional teams including product, market, executive teams, and others to integrate market trends, competitive analysis, and organizational objectives into pricing decisions
Develop key inputs and assumptions in support of the annual Medicare Advantage bid process
Conduct sensitivity analyses and scenario testing to evaluate various factors' impacts on bid pricing outcomes
Analyze healthcare claims data, enrollment data, and other relevant information to detect trends and patterns
Work closely with data analysts and actuaries to ensure data accuracy and completeness in the pricing process
Generating regular reports for senior management, highlighting key performance indicators and providing insights into financial results
Analyzing extensive datasets to identify trends, patterns, and areas for improvement in pricing methodologies
What to Bring:
Passed 4+ exams toward the Associate of the Society of Actuaries (ASA) designation
5+ years of experience in healthcare actuarial roles
2+ years of actuarial experience
Bachelor’s Degree in Statistics, Mathematics, Actuarial Science, Finance, or a related field
Proficiency in writing queries using SQL or other programming languages
Proven experience in applying project management skills in data-related and financial analysis projects
Deep knowledge of Medicare Advantage regulations and risk adjustment methodologies, along with a strong analytical skill set
Preferred experience:
Associate of the Society of Actuaries (ASA) designation
Fellow or Associate designation in the Society of Actuaries (FSA or ASA)
Experience with Medicare Bid processes.
What You’ll Get:
Ability to work remote (must reside in California, Oregon, or Washington)
Full suite of excellent benefits: medical, dental, well-being, retirement, and career development
Great team and culture to grow with
Industry leading salary
If this sounds like the career opportunity you’ve been waiting for, apply today for immediate consideration.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Finance and Sales
Industries
Business Consulting and Services
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