Assistant Actuary I (Medicare)

Key Responsibilities

• Support the development and pricing of Medicare Advantage and Part D products.
• Assist in preparing annual CMS bid submissions, including benefit design, cost projections, and revenue estimates.
• Evaluate historical claims and utilization data to support the pricing of benefit differentials and cost-sharing structures across Medicare plan designs.
• Collaborate with cross-functional teams, including finance, underwriting, and product development, in support of pricing analyses and corporate strategy and forecasts.
• Monitor regulatory changes and assess their impact on pricing and profitability.
• Contribute to actuarial models and tools used for bid development and scenario analysis.
• Present findings and recommendations to actuarial leadership and business partners.

Qualifications

• Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a related field.
• 5+ years of actuarial experience, with a focus on Medicare pricing.
• Fellow or Associate of the Society of Actuaries (SOA).
• Familiarity with CMS bid process and regulatory requirements.
• Strong analytical and problem-solving skills.
• Proficiency in Excel and SQL.
• Excellent communication and collaboration skills.

Preferred Experience

• Experience with Medicare Advantage and/or Part D actuarial models.
• Understanding of risk adjustment and revenue forecasting.
• Demonstrated ability to work independently and drive projects forward with minimal oversight.
• Proven track record of taking initiative, managing competing priorities, and delivering high-quality work in a deadline-driven environment.

About the Role

Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve.

We are seeking an experienced Assistant Actuarial I (Medicare) professional with a strong background in Medicare pricing to join our Government Markets team. This role is ideal for candidates who have hands-on experience with Medicare Advantage and/or Part D bid development and are looking to apply their expertise in a collaborative, fast-paced environment.

Hybrid

Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model.

Equal Employment Opportunity

All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Inclusion and Belonging

At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

Agency Disclaimer

All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.