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Role Summary

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HIGHLIGHTS

This healthcare actuarial manager role in Omaha leads development of pricing trends, network/area factors, and Medicare Advantage analyses for BCBSNE. Responsibilities include managing monthly IBNR, bid support, reinsurance, and providing VBC trend analysis. The position also oversees team workflows and presents to leadership. Ideal for an ASA with 5+ years of actuarial experience and 3+ years in healthcare.

JOB DESCRIPTION SUMMARY

  • Lead pricing trend & network factor methodologies
  • Manage Medicare Advantage IBNR and bid process
  • Support corporate reinsurance and VBC analysis
  • Manipulate data using SQL, Databricks, Excel
  • Manage Actuarial Services team workflows

DOMAIN EXPERTISE

  • Healthcare industry experience

KEY REQUIREMENTS

  • ASA certification required
  • 5+ years in actuarial role
  • 3+ years healthcare industry experience
  • Bachelor's degree in math/stats/actuarial science
  • Experience with SQL, Databricks, and Excel

TECH STACK

  • Excel
  • Databricks
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Role Summary

Loading...

HIGHLIGHTS

This healthcare actuarial manager role in Omaha leads development of pricing trends, network/area factors, and Medicare Advantage analyses for BCBSNE. Responsibilities include managing monthly IBNR, bid support, reinsurance, and providing VBC trend analysis. The position also oversees team workflows and presents to leadership. Ideal for an ASA with 5+ years of actuarial experience and 3+ years in healthcare.

JOB DESCRIPTION SUMMARY

  • Lead pricing trend & network factor methodologies
  • Manage Medicare Advantage IBNR and bid process
  • Support corporate reinsurance and VBC analysis
  • Manipulate data using SQL, Databricks, Excel
  • Manage Actuarial Services team workflows

DOMAIN EXPERTISE

  • Healthcare industry experience

KEY REQUIREMENTS

  • ASA certification required
  • 5+ years in actuarial role
  • 3+ years healthcare industry experience
  • Bachelor's degree in math/stats/actuarial science
  • Experience with SQL, Databricks, and Excel

TECH STACK

  • Excel
  • Databricks

Actuarial Svcs Trend & Network Mgr

Blue Cross and Blue Shield of Nebraska

Health/Insurer/Manager Level
Blue Cross and Blue Shield of Nebraska

Actuarial Svcs Trend & Network Mgr

Blue Cross and Blue Shield of Nebraska

Omaha, Nebraska · 1w ago

Medicare Advantage

Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$124k - $154k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA with 5+ years in healthcare actuarial roles, experienced in pricing trends, network factors, and Medicare Advantage, who enjoys leading a team and using SQL and Databricks to drive insights.

ASA
Active Screening
Standard Review
12d
12 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$124k - $154k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA with 5+ years in healthcare actuarial roles, experienced in pricing trends, network factors, and Medicare Advantage, who enjoys leading a team and using SQL and Databricks to drive insights.

ASA
Active Screening
Standard Review
12d
12 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

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