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Medicare Pricing Expert

2 months ago


Los Angeles, California, United States SpeakEZ Virtual Solutions LLC Full time
Job Summary

We are seeking a highly skilled Senior Actuarial Analyst to join our team at SpeakEZ Virtual Solutions LLC. As a key member of our actuarial team, you will play a critical role in developing and maintaining actuarial models for Medicare Advantage plans.

Key Responsibilities
  • Actuarial Modeling: Develop and maintain complex actuarial models to analyze data and inform pricing strategies for Medicare Advantage plans.
  • Data Analysis: Conduct in-depth data analysis to identify trends and insights that drive business decisions and optimize plan performance.
  • Regulatory Compliance: Ensure compliance with Medicare regulations and risk adjustment methodologies to minimize risk and maximize returns.
  • Business Development: Collaborate with cross-functional teams to develop and implement business strategies that drive growth and profitability.
Requirements
  • Education: Bachelor's Degree in Statistics, Mathematics, Actuarial, Finance, or a related field.
  • Professional Certifications: Completion of 4+ exams toward the Associate of the Society of Actuaries (ASA) designation.
  • Work Experience: 5+ years of healthcare actuarial experience, with a minimum of 2+ years of actuarial experience.
  • Technical Skills: Proficiency in SQL or similar programming languages.
  • Preferred Qualifications: ASA or FSA designation, 2+ years of Medicare Bid experience.