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Actuary jobs at Blue Cross & Blue Shield

- 5 jobs
  • Senior Actuary - Member Analytics/Population Health (Remote)

    Blue Cross and Blue Shield Association 4.3company rating

    Actuary job at Blue Cross & Blue Shield

    Resp & Qualifications PURPOSE: Performs advanced actuarial and management skills in the support of departmental and company objectives. Oversees and directs the work of Actuarial staff and represents the Actuarial department to senior and executive management of multiple business areas. Serve on Taskforces and ensures that all information is accurately and effectively utilized. ESSENTIAL FUNCTIONS: * Responsible for directing the efforts of Actuarial Staff (Pricing, Actuarial Finance, Actuarial Medicare Advantage, Actuarial Innovation and Research) to accomplish near and long-term goals set by senior management. * In collaboration with senior management, responsible for setting long term strategy within the Actuarial department. * Responsible for representing the Actuarial department to internal and external customers including state and federal regulators. * Hiring, recruiting and developing a purpose-driven, growing team with balanced, optimal work distribution, visibility, and SOA exam success. SUPERVISORY RESPONSIBILITY: This position manages people. QUALIFICATIONS: Education Level: Bachelor's Degree in Actuarial Science, Finance, Mathematics or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Licenses/Certifications: * Fellow of the Society of Actuaries (FSA) Upon Hire Required. * Member, American Academy of Actuaries (MAAA) Upon Hire Preferred. Experience: 8 years progressively responsible experience. 3 years management experience. Knowledge, Skills and Abilities (KSAs) * Extremely knowledgeable of risk evaluation and rating techniques and thoroughly familiar with a variety of health insurance products including HMOs, Indemnity, POS/Opt-Out, Consumer-Driven and other products. * Possesses highly developed analytical skills and excellent interpersonal and communication skills, both written and oral, to the point where complex actuarial and underwriting issues are effectively conveyed to a diverse audience. * Must have computing skills with both PC-based and mainframe applications. * Strong leadership skills, as well as the ability to effectively negotiate and sell company rating policy. * Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Salary Range: $169,600 - $314,820 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Senior VP & Chief Actuary Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: ************************* Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship #LI-CB1
    $82k-135k yearly est. Auto-Apply 5d ago
  • Actuarial Analyst, Senior

    Blue Cross and Blue Shield Association 4.3company rating

    Actuary job at Blue Cross & Blue Shield

    Your Role The Actuarial Provider Strategies team supports the budget setting, program design, and operations of Blue Shield of California's value-based care (VBC) payment models, which includes Accountable Care Organization (ACO) and other innovative, alternative payment models. The Actuarial Analyst - Senior will report to the Principal of Actuarial Provider Strategies. In this role you will have responsibility evaluating the performance of Blue Shield of California's value-based care models, including cost, utilization and quality assessment.
    $70k-96k yearly est. Auto-Apply 24d ago
  • Data Scientist, Consultant

    Blue Cross and Blue Shield Association 4.3company rating

    Actuary job at Blue Cross & Blue Shield

    Your Role The Advanced Analytics team works in partnership across the entire Blue Shield of CA enterprise to accelerate business outcomes through the application of AI/machine learning, statistical methodologies, or unstructured data analysis techniques to uncover insights, predict behaviors, and ultimately drive automation to create "intelligence at scale". The Data Scientist, Consultant will report to the Director, Advanced Analytics. In this role you will solve problems which range from but are not limited to, text analytics of customer feedback, conversations, and clinical notes, predicting clinical disease progression, understanding the impact of population health programs, clustering member behaviors, creating propensity models, and geospatial analysis of populations to uncover social determinants of health.
    $123k-171k yearly est. Auto-Apply 60d+ ago
  • Actuarial Analyst, Experienced

    Blue Cross and Blue Shield Association 4.3company rating

    Actuary job at Blue Cross & Blue Shield

    Your Role The Network and Provider Analytics team drives the development of an affordable provider network through data analytics and expertise. The Actuarial Analyst, Experienced will report to the Senior Manager. In this role you will perform financial analyses and modeling for provider contracting support including term changes, renewals, network changes, and terminations for hospitals, ambulatory surgery centers, professional, IPA/MG, and other types of providers.
    $70k-96k yearly est. Auto-Apply 52d ago
  • Actuarial Analyst, Consultant

    Blue Cross and Blue Shield Association 4.3company rating

    Actuary job at Blue Cross & Blue Shield

    Your Role The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk Adjustment Retrospective Analytics. In this role you will develop and refine chart targeting lists, quantify the financial impact of the Retrospective program, and support complete and accurate data submission for both Medicare Advantage and ACA Chart Review Programs.
    $70k-96k yearly est. Auto-Apply 60d+ ago

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