Medicare Part D Actuarial Consultant

A company is looking for a Medicare Part D Actuarial Consultant to support risk adjustment and benefit modeling efforts. Key Responsibilities Review and revise the current Part D actuarial model to enhance robustness and predictive capabilities Analyze risk adjustment factors and estimate final risk scores, assessing downstream impacts of changes Create documentation and prepare internal staff for operational readiness and knowledge transfer Required Qualifications 10+ years of actuarial experience with Medicare Part D payments and risk adjustment Deep knowledge of PDE layouts, DIR reporting, and Part D settlement processes Strong coding skills in SQL and SAS Experience with risk management and actuarial documentation ASA or FSA designation (preferred) or equivalent financial experience in Part D