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Role Summary

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HIGHLIGHTS

Executive health actuarial role (VP & Chief Actuary) for Independence Blue Cross in Philadelphia. Leads pricing, reserving, forecasting and medical/pharmacy cost analytics for Commercial and Medicare Advantage. Senior leader responsible for actuarial opinions, rate filings, model governance and a ~70-person actuarial organization.

JOB DESCRIPTION SUMMARY

Lead actuarial functions for Commercial and Medicare Advantage products
Own pricing, rate filings, reserving, forecasting and medical cost analytics
Manage and develop a ~70-person actuarial organization
Drive modernization of predictive analytics, ML and model governance
Hybrid role – in-office Tue–Thu in Tri-State Area, remote Mon–Fri

DOMAIN EXPERTISE

Commercial and Medicare Advantage pricing and filings
Claim reserving and NAIC/state DOI expectations
Pharmacy economics including Part D and PBM arrangements
Rate filings and actuarial opinions for regulatory submissions
Provider contracting and value-based contracting analytics

KEY REQUIREMENTS

Fellow of the Society of Actuaries (FSA) and MAAA membership required
15+ years of progressive actuarial experience
10+ years of actuarial management and leadership experience
Deep health insurance experience including Medicare Advantage
Eligible to serve as Appointed Actuary under state requirements

TECH STACK

No tech stack specified

Salary Pro Post a Job

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Role Summary

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HIGHLIGHTS

Executive health actuarial role (VP & Chief Actuary) for Independence Blue Cross in Philadelphia. Leads pricing, reserving, forecasting and medical/pharmacy cost analytics for Commercial and Medicare Advantage. Senior leader responsible for actuarial opinions, rate filings, model governance and a ~70-person actuarial organization.

JOB DESCRIPTION SUMMARY

Lead actuarial functions for Commercial and Medicare Advantage products
Own pricing, rate filings, reserving, forecasting and medical cost analytics
Manage and develop a ~70-person actuarial organization
Drive modernization of predictive analytics, ML and model governance
Hybrid role – in-office Tue–Thu in Tri-State Area, remote Mon–Fri

DOMAIN EXPERTISE

Commercial and Medicare Advantage pricing and filings
Claim reserving and NAIC/state DOI expectations
Pharmacy economics including Part D and PBM arrangements
Rate filings and actuarial opinions for regulatory submissions
Provider contracting and value-based contracting analytics

KEY REQUIREMENTS

Fellow of the Society of Actuaries (FSA) and MAAA membership required
15+ years of progressive actuarial experience
10+ years of actuarial management and leadership experience
Deep health insurance experience including Medicare Advantage
Eligible to serve as Appointed Actuary under state requirements

TECH STACK

No tech stack specified

Job Overview

Salary

Salary not specified

Years of Experience

15+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Executive-level health actuary (FSA, MAAA) with deep Commercial and Medicare Advantage pricing and reserving experience, strong leadership of large teams, and capability to drive analytics modernization.

FSAOther

Benefits

Hybrid WorkStudy Program FormalMentorship Program

Shortlist Forming

Closing Soon

160d

160 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary

Salary not specified

Years of Experience

15+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Executive-level health actuary (FSA, MAAA) with deep Commercial and Medicare Advantage pricing and reserving experience, strong leadership of large teams, and capability to drive analytics modernization.

FSAOther

Benefits

Hybrid WorkStudy Program FormalMentorship Program

Shortlist Forming

Closing Soon

160d

160 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

VP & Chief Actuary

Independence Blue Cross

Health/Insurer/VP Level

VP & Chief Actuary

Independence Blue Cross

Philadelphia, United States•5mo ago

HybridCommercial Employer HealthMedicare Advantage

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