Actuary, Risk and Compliance

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Actuary, Risk and Compliance based in United States.

• The Actuary, Risk and Compliance will play a key role in identifying, evaluating, and mitigating actuarial and business risks within a complex healthcare environment.
• This position supports compliant pricing and product development for Medicare Advantage and Prescription Drug Plans.
• A major focus will be ensuring compliance with CMS requirements related to Total Beneficiary Cost and bid submissions.
• The role combines actuarial analysis, regulatory interpretation, risk assessment, and process improvement.
• You will collaborate closely with pricing actuaries and business partners to resolve compliance issues and strengthen bid-filing controls.
• The position also provides opportunities to influence senior stakeholders, lead projects, and potentially manage a direct report.
• This is a fully remote opportunity suited to an experienced actuarial professional with strong regulatory and communication skills.