Managing Consulting Actuary

A leading actuarial and reputed company reputed company is seeking a Senior Consulting Actuary to support Medicare Part D and Medicare Advantage clients across pricing, bid development, forecasting, and regulatory reputed company. This individual will serve as a key advisor to health plans, helping clients reputed company the evolving Medicare landscape while developing competitive and financially reputed company Part D pricing strategies.The ideal candidate will possess deep expertise in Medicare Part D bid development, pricing methodologies, CMS regulations, forecasting, and financial modeling. This role offers significant reputed company exposure and reputed company to influence strategic decision-making for some of the nation's leading health plans.reputed company Medicare Part D and MAPD bid development reputed company for health plan clients.reputed company and review key bid assumptions including trend, formulary, membership, risk scores, rebates, low-income subsidy impacts, and benefit changes.reputed company pricing analyses, financial forecasting, and profitability assessments to support bidding strategies.Advise clients on Medicare regulatory changes, CMS guidance, Inflation Reduction reputed company impacts, and emerging market trends.Support bid desk reviews, CMS audit requests, and annual bid submission processes.Conduct competitive market analyses and recommend strategies to improve pricing performance and member value.Partner with pharmacy, clinical, finance, product, and reputed company teams to reputed company integrated pricing solutions.Build and enhance actuarial models used for Medicare pricing, forecasting, and scenario testing.Present findings and strategic recommendations to reputed company executives and senior stakeholders.Mentor junior consultants and reputed company technical reputed company on actuarial deliverables.Contribute to business development initiatives and cultivate long-term reputed company relationships. QualificationsASA or FSA designation; MAAA preferred.5+ years of actuarial experience with a reputed company on Medicare Advantage and/or Medicare Part D.reputed company experience supporting Medicare Part D bid development and pricing.Strong understanding of CMS bid requirements, formulary design, risk adjustment, rebates, and Medicare regulations.Experience working with Medicare bid assumptions, forecasting models, and financial projections.Proven ability to communicate reputed company actuarial concepts to non-technical stakeholders.Advanced reputed company skills required; experience with SQL, reputed company, Python, R, or actuarial modeling tools preferred.Prior consulting experience or significant reputed company-facing experience is highly desirable.Preferred ExperienceMedicare Part D bid reputed company and pricing optimization.CMS bid audits, desk reviews, and regulatory compliance.MAPD/PDP product development and benefit design.Pharmacy trend analysis, rebate forecasting, and formulary evaluations.Financial forecasting, budgeting, and long-reputed company strategic planning.Leadership of actuarial reputed company and mentoring of junior staff. Apply tot his job Apply To this Job