Actuary - Pricing

Job Summary The Actuary will play a critical role in connecting pricing and trend analysis expertise with actuarial principles to support health plan pricing, forecasting, and strategic decision-making. This position leads actuarial efforts related to Medicare Advantage Part C and D bids, profitability analysis, and financial modeling while providing insights and reporting to senior leadership and cross-functional stakeholders. This position is eligible to work remotely, hybrid or onsite in accordance with our Telecommuting Policy. What you’ll do Serve as the actuarial liaison with external consultants for Medicare Advantage Part C and D bid development. Conduct profitability and forecasting analyses for Medicare Advantage plans, including cohort-level insights. Translate actuarial findings into actionable business insights to support budgeting, planning, and strategy. Perform ad hoc analyses related to Star ratings, benefit changes, and regulatory impacts. Communicate forecast variances and key drivers to senior leadership. Monitor trends and regulatory developments across Medicare Advantage, PDP, and Medigap markets. Provide strategic input on product development, pricing variables, and market positioning. Participate in cross-functional workgroups focused on the strategy and performance of the over-65 product portfolio. Support actuarial exhibits for regulatory filings and validate system/database changes impacting actuarial research. What you need Education and Experience Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related field required. Associateship or Fellowship designation in the Society of Actuaries (SOA) and membership in the American Academy of Actuaries (AAA) required. Minimum of 6 years of actuarial experience with pricing, forecasting, trend analysis, risk management, strategic planning and/or program evaluation required. Experience with building and evaluating new actuarial models, project management, communication with senior leadership, and tracking actual to expected outcomes required. Knowledge, Skills & Abilities In-depth knowledge of Medicare Advantage pricing, regulations, and market dynamics. Proficiency in Excel, SQL, Python, R, Tableau, and/or Power BI, with experience in advanced actuarial modeling, data analysis, and visualization. Knowledge of rating and underwriting regulations across multiple states as well as an understanding of health insurance marketing, sales strategies, and customer segmentation. Ability to develop adaptable models for rates, reserves, and projections in a dynamic environment. Lead and influence cross-functional teams to define metrics, validate assumptions, and ensure alignment with enterprise goals. Present findings and recommendations to senior leadership, translating complex actuarial insights into actionable strategies. Effective communication skills with the ability to explain technical concepts to non-technical audiences. Mentor junior actuarial staff and contribute to knowledge sharing across the actuarial team. Benefits & Perks Base compensation is part of a competitive Total Rewards package. Incentive pay program (EPIP). Health/Vision/Dental insurance. 6 weeks paid parental leave for new mothers and fathers. Fertility/Adoption assistance. 2 weeks paid caregiver leave. 401(k) plan matching up to 5%. Tuition reimbursement. Health & fitness benefits, discounts and resources. Compensation $116,000 - $145,000 #J-18808-Ljbffr Blue Cross and Blue Shield of Kansas