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Actuary

Blue Cross and Blue Shield of KansasUnited States5mo ago
FlexibleMedicare AdvantageMedicare SupplementHealth OtherPricing & RatingRegulatory ReportingPredictive Modelling & ML

Role Summary

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HIGHLIGHTS

Senior health actuarial role focused on Medicare Advantage pricing, bid development (Part C & D), forecasting and profitability analysis. You will build and validate actuarial models, support regulatory exhibits and present findings to senior leadership. Role is based in Kansas with flexible onsite/hybrid/remote options.

JOB DESCRIPTION SUMMARY

  • Lead Medicare Advantage (Part C & D) bid development and pricing strategy
  • Perform cohort-level profitability, forecasting and variance analysis
  • Build and validate actuarial models and support regulatory filings
  • Work remotely, hybrid, or onsite per the company's telecommuting policy
  • Senior role requiring ASA/FSA and 6+ years of actuarial experience

DOMAIN EXPERTISE

  • Medicare Advantage pricing
  • Medicare Part C and D bid development
  • Profitability and forecasting for Medicare plans
  • Regulatory filings and actuarial exhibits
  • Building and validating actuarial models

KEY REQUIREMENTS

  • Associateship or Fellowship in SOA (ASA or FSA) and AAA membership required
  • Minimum 6 years of actuarial experience in pricing, forecasting or trend analysis
  • In-depth Medicare Advantage pricing and regulatory knowledge
  • Experience building and evaluating new actuarial models and project management
  • Proficiency with Excel, SQL, Python or R and Tableau or Power BI

TECH STACK

  • Excel
  • Tableau
  • Power_BI