Devoted Health
Medicare Advantage Pricing Actuary
$175K–$250K
Remote USA · Full-time · Posted Oct 19, 2026
- Experience
- 8+ years of progressive healthcare actuarial experience, with at least 5+ years of direct Medicare Advantage bid pricing, plan design, and CMS bid submission experience.
About the job
Leads the strategy, modeling, and timely submission of Medicare Advantage Part C and Part D bids, ensuring regulatory compliance and aligning pricing with product, clinical, financial, and market goals.
What you'll do
- Direct annual MA bid development, modeling, and submission, meeting CMS requirements and statutory deadlines.
- Build and maintain bid models; develop assumptions and analyze sensitivities to policy, risk, benchmark, and market changes.
- Partner across teams on benefit pricing, data quality, and presentations of bid strategy and financial risks.
What they ask for
- 8+ years of progressive healthcare actuarial experience, including at least 5+ years focused directly on Medicare Advantage bid pricing, plan design, and CMS bid submission.
- Demonstrated record of completing complex projects on schedule under regulatory deadlines.
- Advanced proficiency in actuarial modeling, claims data extraction, and financial modeling tools.
- Thorough knowledge of MA pricing, Part D subsidy and benefit design, CMS-HCC and RxHCC risk adjustment, Star Ratings financial impacts, and benchmark calculations.
Nice to have
- ASA or FSA and MAAA; equivalent practical mastery and bid leadership experience are also considered.
- Experience with reserving, underwriting, risk adjustment operations, or medical economics; comfort in a fast-paced, high-growth environment.
Pay
$175,000 - $250,000 / year (base salary)
Tools
SQL, Python, R, SAS, advanced Excel modeling
Model-written summary · the original posting is authoritative