SUMMARY



This position is responsible for supporting Medicare Advantage bids, which include rate filing development, including data acquisition, pricing, competitive analysis, strategy and process management. This role also requires ad hoc tasks related to pricing, forecasting, and financial performance management.



ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.


1. Utilize advanced actuarial concepts to perform complex analysis, conduct research and make recommendations to leadership.


2. Ensure completeness, accuracy and appropriateness of all insurance data used in the production of outputs; recommend improvements to data as needed.


3. Independently recommend specific course of action; consider internal, external and customer impacts. Independently communicate to stakeholders.


4. Define scope of major projects and coordinate completion.


5. Assess and implement efficiency enhancing processes where available.


6. Respond to requests from internal departments; prioritize and review work of peers for actuarial soundness.


7. Drive key department processes. May provide technical guidance to and coordinate work less experience team members.


8. Remain current on actuarial techniques, seek development and improvement opportunities and understand corporate/cross-functional objectives and cultural beliefs.



EDUCATION AND EXPERIENCE



Relevant combination of education and experience may be considered in lieu of degree.


1. Bachelor's degree in Actuarial Science or related area.


2. Four (4) years related actuarial experience. Preference to have at least one year of BCN/BCBSM actuarial experience or comparable experience at another company.


3. Earned at least four (4) course credits toward the attainment of the FSA designation, and is a member, in good standing, of the Actuarial Development Program.



QUALIFICATIONS



To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.



OTHER SKILLS AND ABILITIES



1. Knowledge of actuarial methods and practices.


2. Strong analytical, verbal and written communication skills.


3. Ability to apply appropriate planning and prioritization techniques.


4. Other related skills and/or abilities may be required to perform this job.



ADDITIONAL INFORMATION



The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.



WORKING CONDITIONS



Work is performed in an office setting with no unusual hazards.



PAY RANGE



Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $78,800 and $132,100.


We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an \"at will\" basis. Nothing herein is intended to create a contract.