Role Summary

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 â US work authorization required

TECH STACK

Excel
Power_BI

Back to Search

Role Summary

HIGHLIGHTS

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 â US work authorization required

TECH STACK

Excel
Power_BI

Role Summary

HIGHLIGHTS

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 â US work authorization required