20 days old

Actuary (Medicare, Part D Strategy and Analytics) - Work from Home

Nashville, TN 37201
  • Job Code
  • Jobs Rated
Remote, Work from home, United States

The position requires an experienced actuarial viewpoint in a wide variety of actuarial subjects and within the company, industry, and regulatory environment. Works collaboratively with cross functional teams and matrix partners. Performs high level actuarial analyses for Medicare Part D business, including, but not limited to: special CMS programs, drug expense analyses and projections, financial forecasts, Medicare Part D bid assumption development, actuarial modeling/analysis, pharmacy network management, manufacturer rebate improvement and ad hoc actuarial analyses/advice as needed.


  • Utilizes independent judgment and discretion, performs financial projections and actuarial analysis for complex assignments including:
    • Trend Analysis (Internal & Industry comparisons)
    • Network analysis, management, and governance
    • Formulary modeling
    • Impact of Regulatory Changes
    • Bid pricing support
    • Participate in internal strategic discussions to help develop strategic plan for bids
  • Assists in the analysis of Part D bid strategy proposals including:
    • Extensive experience and understanding of Part-D bid mechanics and regulations
    • Strategic thought process to optimize Part-D pricing for PDP, MAPD, and DSNP programs
    • Ability to assimilate macro- and micro-trends to develop market competitive products or strategies
    • Cross-functional collaboration on strategy development is critical for the success of the role
    • Help identify competitive information, develop benchmarks and pull together competitive intelligence for internal discussion and insight
  • Assists in the analysis of Part D special projects including:
    • Performing financial analysis of demonstration programs and other special programs by CMS to determine financial impact
    • Works with business partners to determine operational feasibility of special programs
    • Develops strategy recommendations for special programs

Required Qualifications:

  • Bachelors Degree in Actuarial Science, Economics, Mathematics or other related field
  • 6+ years of actuarial experience
  • Position requires attainment of Associate (ASA) designation
  • Proven capabilities in modeling, forecasting, and predictive analytics
  • Strong communication and presentation skills; written/verbal proficiency
  • Strong leadership skills, including 1+ year of people management preferred
  • Experience in the healthcare industry, health plan or pharmacy benefit management highly preferred

Preferred Background:

  • Strong financial analysis and reporting experience
  • Extensive Medicare knowledge, with specific acumen in Part D, including:
    • Bid preparation and desk review
    • CMS compliance
    • CMS audit requirements
  • PBM experience
  • Formulary Modeling Experience
  • Network Modeling Experience
  • Rebate Modeling Experience
  • Trend Analysis Experience
  • Ability to expertly utilize SQL and/or SAS for data mining
  • Integration of competitive intelligence for predictive modeling purposes

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 120,600 - 201,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna .

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Jobs Rated Reports for Actuary

Posted: 2023-01-10 Expires: 2023-02-08
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Actuary (Medicare, Part D Strategy and Analytics) - Work from Home

Nashville, TN 37201

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10th2019 - Actuary
Overall Rating: 10/199
Median Salary: $101,560

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