Associate Director, Medicare Advantage Bid Strategy & Analytics

About the role

We are seeking a highly skilled and analytically driven Medicare Advantage Bid Strategy & Analytics Associate Director to join the team responsible for designing, pricing, and optimizing Devoted Health’s MA benefit portfolio.

Responsibilities

• Financial Modeling & Bid Analytics:
  • Develop and maintain bid financial models connecting benefit decisions to plan economics: MCR analysis, PMPM normalization, plan-absorbed benefit value estimation, and version-over-version delta tracking across pricing iterations
  • Scenario testing: Pressure-test benefits across markets to identify pockets of adverse selection risk; quantify the financial exposure and recommend design adjustments to improve risk posture and protect plan performance
  • Environmental analysis: Monitor CMS regulations, payment methodologies, risk adjustment updates, and Stars payment changes for downstream impact on benefit strategy and plan economics; provide executive-level interpretation of what changes mean for our portfolio
• Benefit Design & Product Development:
  • Plan design: Build and refine the algorithms that generate benefit values across hundreds of PBPs — translating high-level strategic intent into precise, implementable benefit logic at scale, and identifying and resolving the edge cases those algorithms surface
  • Strategic assessments: Support new product and plan flavor development from opportunity sizing and financial viability assessment through full benefit build-out: doing the analytical groundwork that makes leadership decisions possible, then executing implementation once direction is set
• Competitive Strategy & Market Analytics:
  • Market analysis: Evaluate plan portfolio decisions with full financial and competitive context: plan terminations and crosswalks, Stars implications, market entry and exit tradeoffs, and the member impact of structural product changes
  • Insights communication: Synthesize analytically complex findings into clear, decision-enabling recommendations for senior leadership and the executive team
• Technical Build & Analytical Infrastructure:
  • Technical build: Write and maintain production SQL (Snowflake) supporting the benefit cascade system: multi-CTE pipelines for plan benefit calculations, lead/non-lead enforcement logic, MCR-driven benefit deterioration and enrichment, and bid review outputs
  • Process improvement: Build Python scripts and automation workflows that reduce manual effort in the bid cycle — benefit workbook generation, data validation, and analytical tooling that scales with a growing plan portfolio
  • AI scaling: Use AI tools — including agentic workflows and AI coding assistants — as a core part of how you work; actively contribute to how the team evolves its use of AI to automate, scale, and improve bid operations

Requirements

• Direct Medicare Advantage bid mechanics experience — you understand BPTs, how the bid math works, what MCR means and how it constrains benefit decisions. This is the foundation of the role and hard to teach; you need to come in with it.
• 5–8 years of relevant experience at a Medicare Advantage health plan or actuarial/consulting firm (Milliman, Wakely, Oliver Wyman, or similar).
• Able to operate independently from day one, demonstrating strong business judgement and comfort with ambiguity
• Strong modeling skills: you build analytical frameworks from scratch, interpret complex bid and actuarial data, conduct benefit scenario analyses, and translate findings into strategy — pairing technical depth with executive-level “so what”
• SQL fluency — you write complex queries, debug multi-CTE pipelines, and reason about data architecture in the context of a benefit calculation system
• Python proficiency — you build scripts, automate analytical workflows, and work with structured data without hand-holding
• A proactive and adaptable mindset; the ability to thrive in a fast-moving, entrepreneurial environment where the work is rarely fully defined before it starts

Qualifications

• Familiarity with MA benefit design: cost-sharing structures, benefit category logic, and how individual benefit decisions interact with plan economics and CMS requirements
• Familiarity with Stars, QBP eligibility, and the downstream plan portfolio implications of rating changes
• Experience building or working within automated benefit generation systems, cascade pipelines, or large-scale bid tooling
• ASA or FSA designation is not required, but candidates with actuarial training who have decided they want strategy and product work over pure pricing are a strong fit and a profile we actively welcome

Skills and Experience

• Direct Medicare Advantage bid mechanics experience
• Relevant experience at a Medicare Advantage health plan or actuarial/consulting firm
• Strong modeling skills
• SQL fluency
• Python proficiency
• Proactive and adaptable mindset
• Familiarity with MA benefit design
• Familiarity with Stars, QBP eligibility, and the downstream plan portfolio implications of rating changes
• Experience building or working within automated benefit generation systems, cascade pipelines, or large-scale bid tooling

Desired Skills and Experience

• Familiarity with ASA or FSA designation

Who You Are

You find the Medicare Advantage ecosystem genuinely interesting — how the incentives work, why the rules are structured the way they are, what competitors are actually optimizing for. You want to understand the system, not just work within it. You run fast at challenges and make well-reasoned calls with incomplete information, label your assumptions explicitly, and update when better data arrives. You can swag an order-of-magnitude estimate and know when that’s the right tool. You care about being right at the strategy and individual PBP level. You are equally at home building the financial and strategic case for a new product and auditing a CTE chain for a materiality bug. The altitude shifts constantly; you shift with it. Full altitude range: You translate analytically complex work into tight, decision-enabling output for executives.

A Note on This Role

This team is small, high-output, and operates without a lot of process overhead. We move fast during bid season, hold each other’s work to a high standard, and nobody is above any task. That’s intentional — it’s what makes the team operate at the level it does. It’s also genuinely fun. Medicare Advantage bid strategy at Devoted is a team sport — the kind where you’re building something complex together in real time, where the best ideas come out of the group, and where the relationships on the team are as much a part of the work as the bid mechanics. We are a highly collaborative remote team that is in constant communication, moves fast together, and genuinely enjoys working with each other.

Pay Range

$157,500 - $215,000 / year