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ASA/FSA Medicare Actuary (Part D)

Oliver James are currently partnered with a leading US Health Insurer seeking Actuarial professionals with Medicare Part D experience to join their growing actuarial function.

These opportunities will focus on Medicare Part D pricing, bid development, pharmacy claims analysis, and actuarial modelling. The roles would suit individuals looking to develop their expertise within Medicare, take greater ownership of complex actuarial projects, and contribute to the pricing and financial strategy of an established health insurer.

Role requirements:

  • Progress towards ASA or FSA designation, with credentialed actuaries also encouraged to apply
  • Experience in Medicare Part D pricing, pharmacy actuarial analysis, or Part D bid development
  • Understanding of CMS regulations, Part D benefit design, pharmacy claims, and financial forecasting
  • Strong analytical and modelling capabilities, ideally including Excel, SQL, SAS, or similar tools

What makes these opportunities particularly interesting is the level of technical ownership and exposure to complex Medicare programmes. You’ll work alongside experienced actuarial leadership, contributing to the development and enhancement of Part D pricing models, evaluating regulatory changes, and influencing strategic decisions across the Medicare business. There is excellent scope for professional development, increased responsibility, and long-term career progression.

These opportunities have a hybrid working arrangement.

For further details on these roles or for a confidential discussion around how your role compares in the market, please don’t hesitate to reach out on [email protected] or +1 646 494 5020.