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You Belong At Blue
Why Join Us?
- Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
- FamilyComes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
- Professional Growth Opportunities: Advance your career with ongoing training and development programs.
- Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
- Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
- Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.
Benefits & Perks
- Base compensation 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
- 401(k) plan matching up to 5%
- Tuition reimbursement
- Health & fitness benefits, discounts and resources
Job Summary
The Actuary will play a critical role in connecting pricing and trend analysis expertise with actuarial principles to support health plan pricing, forecasting, and strategic decision-making. This position leads actuarial efforts related to MA Part C and D bids, profitability analysis, and financial modeling, while providing insights and reporting to senior leadership and cross-functional stakeholders.
"This position is eligible to work remotely, hybrid or onsite in accordance with our Telecommuting Policy."
What you'll do
- Serve as the actuarial liaison with external consultants for Medicare Advantage Part C and D bid development.
- Conduct profitability and forecasting analyses for Medicare Advantage plans, including cohort-level insights.
- Translate actuarial findings into actionable business insights to support budgeting, planning, and strategy.
- Perform ad-hoc analyses related to Star ratings, benefit changes, and regulatory impacts.
- Communicate forecast variances and key drivers to senior leadership.
- Monitor trends and regulatory developments across Medicare Advantage, PDP, and Medigap markets.
- Provide strategic input on product development, pricing variables, and market positioning.
- Participate in cross-functional workgroups focused on the strategy and performance of the over-65 product portfolio.
- Support actuarial exhibits for regulatory filings and validate system/database changes impacting actuarial research.
What you need
Education and Experience
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related field is required.
- Associateship or Fellowship designation in the Society of Actuaries (SOA) and membership in the American Academy of Actuaries (AAA) required.
- Minimum of 6 years of actuarial experience with pricing, forecasting, trend analysis, risk management, strategic planning, and/or program evaluation is required.
- Experience with building and evaluating new actuarial models, project management, communication with senior leadership, and tracking actual to expected outcomes required.
Knowledge/Skills/Abilities
- In-depth knowledge of Medicare Advantage pricing, regulations, and market dynamics.
- Proficiency in Excel, SQL, Python, R, Tableau, and/or Power BI, with experience in advanced actuarial modeling, data analysis, and visualization.
- Knowledge of rating and underwriting regulations across multiple states as well as an understanding of health insurance marketing, sales strategies, and customer segmentation.
- Ability to develop adaptable models for rates, reserves, and projections in a dynamic environment.
- Lead and influence cross-functional teams to define metrics, validate assumptions, and ensure alignment with enterprise goals.
- Present findings and recommendations to senior leadership, translating complex actuarial insights into actionable strategies.
- Effective communication skills with the ability to explain technical concepts to non-technical audiences.
- Mentor junior actuarial staff and contribute
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Blue Cross Blue Shield of Kansas