Lead Actuary, Medicare Advantage
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Job Description
Lead Actuary supporting actuarial bid pricing for Medicare Advantage at Horizon Blue Cross Blue Shield. Providing forecasts, profitability analyses, and reporting to stakeholders.
Responsibilities:
- Support actuarial pricing for the Medicare Advantage bid process and forecasting, working in conjunction with department leadership.
- Support developing a robust suite of internal tools for the bid process, member-level and cohort-level profitability analysis, and detailed forecasting.
- Forecasting and profitability analysis.
- Perform other ad-hoc analyses as requested (examples include assessing the impact of Star rating changes, benefit changes, or other changes).
- Investigate and communicate variances and drivers of forecasts to department leaders.
- Provide strategic thinking regarding the overall business strategy, incorporating product knowledge and broad Medicare Advantage landscape market dynamics.
- Supervise and train junior actuaries as needed.
Requirements:
- Bachelors degree, required preferably within Mathematics, Statistics, Actuarial Sciences or a related field from an accredited college or university.
- Requires 5+ years of experience in Medicare Advantage actuarial bid pricing.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) preferred.
- Requires expert knowledge of Excel.
- Requires advanced proficiency with SAS or SQL.
- Requires expert knowledge of Medicare Advantage bid regulations and bid instructions.
- Requires in depth knowledge of the Medicare Advantage industry.
Benefits:
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
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