Job Details

Blue Cross and Blue Shield of Kansas is looking to add to our Actuarial Pricing team and has a new opportunity for an Associate Actuary. This is a key role responsible for connecting deep Medicare expertise with actuarial principles relating to health plan risk and pricing. This position is a senior member of the team responsible for providing detailed forecasts, conducting and tracking profitability analyses, and communicating results and providing reporting to stakeholders and senior leadership.

"This position is eligible to work remotely (8 or less days a month onsite) or hybrid (9 or more days a month onsite) in accordance with our Telecommuting Policy. For hybrid and onsite opportunities, applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

Why Join Us?

• Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.
• Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
• Trust: Work for one of the most trusted companies in Kansas.
• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.

Compensation

$112,800 - $134,000
Exempt Grade 18

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

What you'll do

• Serve as internal actuarial point of contact and liaison working with the external consultants that produce the MA Part C and D Bids.

• Summarize actuarial findings and translate insights that can drive other business activities (e.g. budgeting, annual planning, in-year implications, etc.)
• Conduct forecasting and profitability analysis specific to Medicare Advantage plans; including cohort-level profitability analysis.
• Perform ad-hoc analyses as requested, such as assessing the impact of Star rating changes, benefit changes, or other regulatory changes.
• Communicate and explain variances and drivers of forecasts to senior leadership.
• Stay updated on industry regulations, trends, competitor strategies, and market best practices within Medicare.
• Provide strategic insights regarding the overall business strategy, incorporating product knowledge and the broader Medicare Advantage market dynamics.

What you need

• Bachelor's degree in Mathematics or Bachelor's Degree with 12 credit hours of math at the calculus level or above including at least 3 credit hours of statistics where calculus is a prerequisite.
• Must have obtained the Associate designation from the Society of Actuaries and membership in the American Academy of Actuaries.
• Requires in depth knowledge of the Medicare Advantage industry.
• Six years' experience pricing or reserving health insurance products, either group or individual. Must include either 1) the design of experience and manual rating factors and formulas and the design of studies to monitor the suitability of such factors or formulas or 2) the design of retrospective analysis of liability estimation and the design of studies to monitor the suitability of the completion factor estimates. Must also include at least two years' experience with Medicare Advantage.
• Must have advanced knowledge of actuarial and statistical modeling techniques and how they are applied to solve problems in the health insurance field.
• Proficient Data Query and PC spreadsheet skills: Must be able to learn and excel using our computer query languages (including SQL) and PC data analysis tools. Must be skilled at analyzing data and solving problems.
• Ability to work effectively with diverse personalities at various management and non-management levels having a wide range of technical understanding. Must be able to work independently as well as on a co-managed team.
• Must be able to communicate technical subjects to non-technical people with sufficient clarity to explain the ramifications of actions and justify recommendations to coworkers, the Chief Actuary and Senior Management.
• Ability to see and anticipate significant trends affecting rates, reserves, and financial projections. Ability to design and develop effective models for rates, reserves and financial projections that can adapt to changing conditions. Ability to determine the appropriate data sources and methods for analysis. Must understand the environment of the application of the analysis sufficiently to assure that the intended results are achieved.

Bonus if you have

• Pursuit of the Fellowship designation from the Society of Actuaries preferred.

Benefits & Perks

• Base pay is only one component of your competitive Total Rewards package:
  • Incentive pay program (EPIP)
  • Health/Vision/Dental insurance
  • 6 weeks paid parental leave for new mothers and fathers
  • Fertility/Adoption assistance
  • 2 weeks paid caregiver leave
  • 5% 401(k) plan matching
  • Tuition reimbursement
  • Health & fitness benefits, discounts and resources

Our Commitment to Diversity, Equity, Inclusion, and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of diversity, equity, inclusion, and belonging (DEIB), where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

We believe that embracing diversity and authentically promoting inclusion, equity, and belonging among our team members is crucial to our collective success. By intentionally recruiting, developing, and retaining a diverse pool of talent, we cultivate an environment where everyone feels valued, heard, and empowered to contribute. Accommodations are available for applicants with disabilities upon request, ensuring an inclusive and accessible hiring process for all.PandoLogic. Category: Insurance, Keywords: Actuary