Medicare Actuary

Develops, manages, and provides the evaluation, implementation, and maintenance of models and studies, which use actuarial principles for the purposes of pricing, underwriting, reserving, trend analyses, rating support, forecasting, and other actuarial functions as needed. Summarizes results, provides observations, and communicates recommendations to support management decisions.

Leads, develops, analyzes, and quantifies the effects of new initiatives, proposals, environmental changes such as: laws/regulation, tax policy; trend; competitor, member, and provider behavior impacting FEP, BCBSA, or Blue Plans, as appropriate. Analyzes the financial effect and determines the estimated actuarial impact as well as develops and implements appropriate solutions.

Responds to a variety of technical inquiries or requests and provides technical actuarial support to internal customers or external customers (OPM, CMS, Congress, etc.), and Blue Plans upon request. Leads and evaluates the Plan Trend Surveys and other BCBSA publications as requested.

Leading actuarial presentations at meetings, conferences, and training sessions as requested.
Maintains actuarial credentials which may include continued progression through the actuarial examination process.

The posting range for this position is:

Qualifications:

Education

• Required Bachelor's Degree or equivalent work experience

Experience

• Required 7+ Years actuarial experience, with multiple years in Medicare Advantage/Part D, medical, dental, and/or vision insurance, or other health related experience.

Knowledge Skills and Abilities

• Substantial health actuarial and related technical expertise in rating, underwriting, valuation, product development, trend analysis, forecasting, rate filings, financial statements, legislative analysis, policy development, and R&D projects is required.

• General understanding of data support systems and data requirements.
  
• Ability to work effectively in multi-disciplinary team environment.
  
• Excellent oral and written communication skills, as well as effective presentation skills in both formal and informal settings with the ability to present technical information to non-technical audiences
  
• Demonstrated technical skills with the Microsoft Office Suite are required, including Microsoft Excel.
  
• Skilled in basic accounting and financial analysis.
  
• Experience in Access, SAS, SQL, Visual Basic, R, or other programming skills.
  
• Ability to exercise independent actuarial judgement
• Preferred: Demonstrates AI literacy and an understanding of generative AI tools, including appropriate business applications and limitations.

Certifications & Licenses

• Required: Associate of the Society of Actuaries (ASA) - SOA
• Required: Financial Services\Membership in the American Academy of Actuaries (MAAA)

#LI-Hybrid

The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We mayultimately pay more or less than thehiring range andthishiringrange may also bemodified in the future.A candidate’s position within thehiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travelrequirements, and business or organizational needs. This job is also eligible forannualbonusincentivepay. 

We offera comprehensive package of benefitsincluding paid time off, 11 holidays,medical/dental/vision insurance,generous401(k) matching, lifestyle spending account andmany other benefitsto eligible employees. 

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employeeremains in the Company's sole discretion unless and until paid and may bemodified at the Company’s sole discretion, consistent with the law.