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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
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Role Summary

Loading...

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

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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
24d
24 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
24d
24 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."

Health/Insurer/VP Level
Independence Blue Cross

VP & Chief Actuary

Independence Blue Cross•Philadelphia, United States•3w ago
HybridCommercial Employer HealthMedicare AdvantagePricing & RatingReserving & ValuationPredictive Modelling & ML