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Staff Actuary - Medicare - Health Insurance
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EmblemHealth
Hoboken, NJ (In Person)
Full-Time
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Job Description
Staff Actuary
- Medicare
- Health Insurance at EmblemHealth Staff Actuary
- Medicare
- Health Insurance at EmblemHealth in Hoboken, New Jersey Posted in 5 days ago.
Type:
full-timeJob Description:
Summary:
We are seeking a hands-on Medicare Actuary to support pricing, forecasting, and bid development for Medicare Advantage (MA), Part D, and EGWP products. This role will support end-to-end bid season execution, Medicare forecasting, and deliver deep experience analytics to inform pricing, product strategy, and financial performance. The ideal candidate combines Medicare bid expertise , experience study rigor , and a builder mindset to improve processes, and elevate insights.Key Responsibilities:
Bid & Pricing (MA/Part D/EGWP) Own actuarial components of the annual Medicare Advantage and Part D bids , including benefit pricing, trend, risk score assumptions, admin load, and margins. Be a collaborative partner across teams by pricing product scenarios. Review ongoing CMS releases and refine assumptionsto monitor a rapidly changing landscape. Forecasting Deliver regular forecasting with clear drivers, risks, and variances vs. plan/budget.Requirements:
Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required Associate of the Society of Actuaries (ASA) required 5- 8+ years relevant professional work experience and/or education required 4+ years health insurance actuarial experience, preferably in the managed care industry required Prior management experience (processes and/or staff) preferred A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required Ability to communicate effectively with Business leaders required Expert level skills with database, spreadsheet, and analytical software required Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.