The Actuary supports pharmacy benefit programs through the analysis of claims experience, drug utilization, and cost trends. Key duties include financial forecasting, developing actuarial models for rate adequacy, and preparing regulatory reports.
Drive Medicare product sales and growth within an assigned territory by educating beneficiaries and building community partnerships. Ensure all enrollment activities adhere to CMS marketing guidelines and regulatory requirements.
Provides technical leadership and architectural direction across multiple domains to ensure scalable solutions and architectural integrity. Accountable for end-to-end technical solution delivery, mentoring junior architects, and governing design reviews and enterprise standards.
Lead the technical solution design and documentation for medium-to-high complexity features while ensuring alignment with business objectives and regulatory standards. Drive innovation through proof-of-concepts and govern design reviews to maintain the current-state ecosystem.
