Responsibilities of Medicare Actuary:
- Evaluate new markets and design new and enticing products
- Support the annual Medicare Advantage and Part D bids, monthly reserve setting, and forecasting
- Support business decision making within claims, risk adjustment, clinical, and network functions
- Monitor the performance of health plan operations
Qualifications of Medicare Actuary:
- 7+ years of health actuarial experience
- FSA Designation (Fellow of the Society of Actuaries)
- Experience with Medicare Advantage, including development of the annual bid, risk adjustment, and provider reimbursement
