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Actuary - Pricing

Blue Cross and Blue Shield of KansasTopeka, Kansas, United States4d ago
FlexibleMedicare AdvantageMedicare SupplementPricing & RatingExperience StudiesRegulatory Reporting

Role Summary

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HIGHLIGHTS

Senior health actuarial pricing role focused on Medicare Advantage (Part C & D) and Medigap. You will lead MA bid development, perform profitability and forecasting analyses, and present findings to senior leadership. Position is based in Topeka, KS with flexible remote/hybrid/onsite options.

JOB DESCRIPTION SUMMARY

  • Lead actuarial pricing and bid development for Medicare Advantage Part C and D
  • Perform cohort-level profitability analysis and forecasting for MA plans
  • Translate actuarial results into executive-level insights and strategy
  • Work remotely, hybrid, or onsite in Topeka, KS per telecommuting policy
  • Ideal for credentialed SOA actuary with 6+ years of health pricing experience

DOMAIN EXPERTISE

  • Medicare Advantage pricing and bid development
  • Part C and Part D (PDP) profitability and forecasting
  • Regulatory actuarial exhibits and rate filing support
  • Cohort-level analysis and tracking actual-to-expected outcomes

KEY REQUIREMENTS

  • Associateship or Fellowship in SOA (ASA or FSA) and AAA membership required
  • Minimum of 6 years of actuarial experience in pricing/forecasting
  • In-depth Medicare Advantage pricing and regulatory knowledge
  • Proficiency with Excel, SQL, Python or R, and Tableau or Power BI
  • Experience leading projects and communicating to senior leadership

TECH STACK

  • Excel
  • Tableau
  • Power_BI