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Actuary - Pricing

Blue Cross and Blue Shield of KansasTopeka, Kansas, United States2w ago
FlexibleMedicare AdvantageMedicare SupplementIndividual HealthPricing & RatingReserving & ValuationRegulatory Reporting

Role Summary

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HIGHLIGHTS

Senior health actuary role focused on Medicare Advantage (Part C and D), PDP and Medigap pricing and forecasting in Topeka, KS. Lead MA bid development, profitability and trend analyses, regulatory exhibits, and strategic product input. Flexible work arrangement (remote/hybrid/onsite).

JOB DESCRIPTION SUMMARY

  • Lead pricing and bid development for Medicare Advantage Part C and D
  • Perform profitability, cohort-level forecasting and trend analysis
  • Prepare actuarial exhibits for regulatory filings and validate system changes
  • Use Excel, SQL, Python or R and Tableau/Power BI for modeling and visualization
  • Senior role (6+ years) requiring SOA Associateship or Fellowship and AAA membership

DOMAIN EXPERTISE

  • Medicare Advantage pricing and regulations
  • MA Part C and Part D bid development
  • Profitability and cohort-level forecasting analyses
  • Building and evaluating actuarial pricing and projection models

KEY REQUIREMENTS

  • Bachelor's degree required
  • Associateship or Fellowship in the SOA (ASA or FSA) and AAA membership required
  • Minimum of 6 years of actuarial experience in pricing, forecasting or trend analysis
  • Experience with Medicare Advantage pricing, regulations, and bid development
  • Proficiency in Excel, SQL, Python or R and Tableau or Power BI

TECH STACK

  • Excel
  • Tableau
  • Power_BI