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Role Summary

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HIGHLIGHTS

Senior health actuarial leadership role at CareFirst BCBS, leading teams across pricing, finance, and Medicare Advantage. This Director-level position sets long-term actuarial strategy, oversees actuarial modeling, and represents the department to executives, regulators, and external customers. Ideal for an FSA with deep experience in health insurance pricing and provider contracting.

JOB DESCRIPTION SUMMARY

  • Lead and develop actuarial teams in pricing, finance, and Medicare Advantage
  • Set long-term strategy and provide executive-level recommendations
  • Represent actuarial to regulators, internal partners, and external customers
  • Focus on provider contracting and value-based care analytics

DOMAIN EXPERTISE

  • Health insurance pricing
  • Provider contracting / value-based care
  • Medicare Advantage
  • Risk evaluation & rating techniques

KEY REQUIREMENTS

  • FSA required upon hire
  • 8+ years pricing and actuarial experience in healthcare
  • 3+ years management experience
  • Strength in risk evaluation and health insurance products (HMO, indemnity, etc.)
  • No visa sponsorship – US work authorization required

TECH STACK

  • Excel
  • Power_BI
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial leadership role at CareFirst BCBS, leading teams across pricing, finance, and Medicare Advantage. This Director-level position sets long-term actuarial strategy, oversees actuarial modeling, and represents the department to executives, regulators, and external customers. Ideal for an FSA with deep experience in health insurance pricing and provider contracting.

JOB DESCRIPTION SUMMARY

  • Lead and develop actuarial teams in pricing, finance, and Medicare Advantage
  • Set long-term strategy and provide executive-level recommendations
  • Represent actuarial to regulators, internal partners, and external customers
  • Focus on provider contracting and value-based care analytics

DOMAIN EXPERTISE

  • Health insurance pricing
  • Provider contracting / value-based care
  • Medicare Advantage
  • Risk evaluation & rating techniques

KEY REQUIREMENTS

  • FSA required upon hire
  • 8+ years pricing and actuarial experience in healthcare
  • 3+ years management experience
  • Strength in risk evaluation and health insurance products (HMO, indemnity, etc.)
  • No visa sponsorship – US work authorization required

TECH STACK

  • Excel
  • Power_BI

Job Overview

Salary
$172k - $318k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A seasoned health actuary (FSA) with 8+ years in health pricing and provider contracting, proven people leadership, and the ability to influence strategy at the executive level.

FSA

Benefits

Bonus Eligible401(k) PlanHealth InsuranceStudy SupportExam Fees CoveredRemote First
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$172k - $318k
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A seasoned health actuary (FSA) with 8+ years in health pricing and provider contracting, proven people leadership, and the ability to influence strategy at the executive level.

FSA

Benefits

Bonus Eligible401(k) PlanHealth InsuranceStudy SupportExam Fees CoveredRemote First
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Health/Insurer/Director Level
CareFirst BlueCross BlueShield

Actuary - VBC/Provider Contracting (Remote)

CareFirst BlueCross BlueShield•Baltimore, Maryland, United States•1h ago
RemoteCommercial Employer HealthMedicare AdvantageHealth OtherPricing & RatingUW Support & Portfolio Management

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