Jobs
>
Philadelphia

    Actuarial Senior Manager – Medicare Pricing - Philadelphia, United States - The Cigna Group

    Default job background
    OTHER
    Description

    Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement industry is highly competitive, challenging but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader for our continued new product launches and focus on innovation, this role brings substantial insights and impacts to support growth and success of CSB.

    Responsibilities:

    • Accountability for executing new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and changes to senior leadership and matrix partners.
    • Drive improvements in actuarial assumption setting, pricing methodology and end to end procedures. Maximize the efficiency to shorten the duration of full pricing cycle for new product launches.
    • Support senior exchange MedSupp product refresh strategy. Closely monitor the risk profile shifts on the senior exchange and propose strategical updates accordingly.
    • Take full ownership of new product filing execution. Ensure on time submission of rate filings, objection responses and secure approval of rate filings.
    • Work with matrix partners to monitor the leading indicators and early performance to evaluate the quality of new business sold. Be ready to identify the root cause of observed issues and provide timely solutions with clear next steps to follow.
    • Serve as innovation lead for MedSupp pricing projects. Through partnership with division leadership, identify opportunities to drive differentiation of our product offerings within regulatory constraints.
    • Maintain and develop a strong pricing team with a staff of two actuarial professionals. Champion the continuous improvement mindset, and knowledge sharing with other teams.

    Qualifications:

    • Bachelors degree in Actuarial Science, Mathematics, Statistics, Finance or related field
    • 6-8+ years of actuarial experience in related field strongly preferred
    • FSA preferred; qualification to sign rate filings required
    • MedSupp experience is preferred but not required
    • Strong analytical and problem solving skills
    • Strong ability to partner and communicate with variety of non-actuarial audiences
    • Strong ability to coach and develop talents

    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 136, ,600 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 Group.

    About Cigna Healthcare

    Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

    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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

    The Cigna Group 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.



  • Penn Medicine Philadelphia, United States

    **Description** · Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration w ...


  • Penn Medicine King of Prussia, United States

    **Description** · Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration w ...


  • Independence Blue Cross Philadelphia, United States

    Bring your drive for excellence, teamwork, and customer commitment to Independence. 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. · The Medicare Group ...

  • Pryor Associates Executive Search

    Health Actuary

    3 weeks ago


    Pryor Associates Executive Search Philadelphia, United States

    Health Actuary opening in PA/NJ/DE. Opportunities to work on Pharmacy pricing, provider contracting, medical trends, reserving, or Medicare pricing Ideal candidate is ASA or pre-ASA with 2+ years of any actuarial experience. (PR12664A) · ...


  • Rheumatology & Internal Medicine Wilmington, United States

    **Job Summary** · Under the general supervision of the Physician/Manager provide daily operations of patient billing including accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt, collections, and pa ...


  • Independence Blue Cross Philadelphia, United States

    Bring your drive for excellence, teamwork, and customer commitment to Independence. 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. · The Pharmacy Servi ...

  • Independence Blue Cross

    Quality Specialist

    1 week ago


    Independence Blue Cross Philadelphia, United States

    Job SummaryResponsibility for completing accuracy reviews of case samples for program audits. Assesses operational and service performance of substantially all branded, core health business. The most common branded health lines of business included in the Program are: HMO, PPO, I ...

  • Independence Blue Cross

    Quality Specialist

    2 days ago


    Independence Blue Cross Philadelphia, United States

    Job Summary · Responsibility for completing accuracy reviews of case samples for program audits. Assesses operational and service performance of substantially all branded, core health business. The most common branded health lines of business included in the Program are: HMO, PP ...


  • Pennsylvania Medicine Philadelphia, United States

    Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, ...


  • Penn Medicine Philadelphia, United States

    · Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinica ...


  • Lundbeck Philadelphia, United States

    BioPharmaceutical Account Manager - Philadelphia Southwest, PA · Requisition ID: 5101 · Location: · Philadelphia, Pennsylvania, US · **Territory: Philadelphia Southwest, PA - Neurology** · Target area for territory is Philadelphia - will consider candidates who live within 40 mil ...

  • Independence Blue Cross

    Assistant Actuary I

    1 week ago


    Independence Blue Cross Philadelphia, United States

    Bring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered ...


  • Independence Blue Cross Philadelphia, United States

    Bring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered ...


  • Lundbeck Philadelphia, United States Full time

    Territory: Philadelphia Southwest, PA - Neurology · Target area for territory is Philadelphia - will consider candidates who live within 40 miles of territory boundaries with access to a major airport. Territory boundaries include: Pottstown, Lansdale, West Chester, Avondale, Sou ...


  • Pennsylvania Medicine Philadelphia, United States

    Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, ...

  • ARIAD

    Director, Contracts

    4 days ago


    ARIAD Exton, United States

    At Takeda, it's our people, our values and our culture that make us special. We share a sense of vocation and a desire to serve others that pulses through our entire organization. We're fortunate to be grounded in a history that gives us a long term perspective, the confidence to ...


  • Penn Medicine Philadelphia, United States

    Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, ...


  • Contemporary Staffing Solutions Philadelphia, United States

    Job Description · Job DescriptionContemporary Staffing Solutions is seeking a dedicated and detail-oriented Provider Operations Specialist to join our client for a remote opportunity In this role, you will play a crucial part in operationalizing both new and existing provider con ...


  • Lundbeck Philadelphia, United States

    BioPharmaceutical Account Manager - Philadelphia Southwest, PA · Requisition ID: 5101 · Location: · Philadelphia, Pennsylvania, US · **Territory: Philadelphia Southwest, PA - Neurology** · Target area for territory is Philadelphia - will consider candidates who live within 40 mil ...


  • Insight Global Camden, United States

    One of our large healthcare clients in Camden, NJ is looking for a Chargemaster Analyst to join their Revenue Integrity team This person will be responsible for ensuring proper revenue generation, improving all aspects of revenue cycle operation (coding, charge capture and proces ...