Senior Markets Pricing - Actuarial Consultant

Blue Cross and Blue Shield of Massachusetts, Inc.; Golden Horseshoe; On-site; USD 90,000 - 140,000; Full time

Job summary

An established industry player seeks a consultant to join their senior markets pricing team. This pivotal role involves analyzing and supporting initiatives in Medicare strategy and pricing, driving technical solutions, and collaborating with diverse teams. The ideal candidate will possess a solid understanding of Medicare financial models, advanced analytic skills, and a customer service orientation. This opportunity not only offers competitive compensation but also a comprehensive benefits package, fostering a culture of growth and inclusivity. Join a forward-thinking organization dedicated to work/life balance and employee well-being.

Benefits

Health insurance

401(k)

Paid time off

Well-being benefits

Qualifications

• 2-5 years of Medicare pricing experience required.
• Strong analytic skills, preferably with an actuarial background.

Responsibilities

• Support Medicare Markets projects including pricing and financial planning.
• Conduct complex financial analyses for Medicare and senior products.

Skills

Medicare financial models

Analytic skills

Project planning

Communication skills

Problem-solving

Education

Bachelor's Degree

ASA or FSA designation

Tools

Analytic software

Job description

Position Summary:

The consultant in this role is a key member of the senior markets pricing team within the Actuarial & Analytic Services department. This role offers opportunities in pricing, product development, competitive analytics, financial planning, and forecasting. The individual will analyze and support cross-functional initiatives focused on senior product strategy and Medicare Markets. Creativity, collaboration, and the ability to drive technical solutions to completion are essential. The candidate must work effectively with technical and non-technical staff across various departments.

Key Accountabilities:

1. Support projects related to Medicare Markets, including pricing, financial planning, trend analysis, driver identification, competitive analysis, regulatory compliance, and audits.
2. Develop analytic tools to support Medicare strategy and financial projections, providing recommendations based on analysis.
3. Enhance data and analytic capabilities considering regulatory changes and market trends.
4. Conduct complex financial analyses for Medicare and senior products.
5. Provide technical and business advice to internal and external stakeholders to support strategic goals.
6. Lead actuarial projects on complex issues and trends.
7. Participate in ad hoc projects to support business and corporate initiatives.
8. Ensure project completion, communicate results, and facilitate implementation.

Challenges/Problem Solving:

• Deliver accurate financial analyses with clear, supported recommendations.
• Manage multiple projects simultaneously, maintaining progress on each.
• Integrate facts from various sources, develop insights, and communicate implications.

Qualifications:

• Solid understanding of Medicare and related financial models (Medicare FFS, Advantage, Part D, and supplements).
• Advanced technical skills and software proficiency.
• Strong analytic skills, preferably with an actuarial background.
• Customer service orientation with a focus on creating positive experiences.
• Creative problem-solving skills, from assessment to solution implementation.
• Effective project planning and time management skills.
• Excellent written and verbal communication skills.
• Adaptability to new responsibilities.
• Team-oriented and collaborative mindset.

Education/Experience:

• 2-5 years of Medicare pricing experience required.
• Bachelor's Degree required.
• ASA or FSA designation preferred; MAAA membership preferred.

Additional Details:

Location: Boston

Position Type: Full-time

Salary Range: $90,000 - $139,700, with potential for variation based on experience and qualifications.

This role is eligible for variable pay and a comprehensive benefits package, including paid time off, health insurance, 401(k), and well-being benefits.

Why Blue Cross Blue Shield of MA?

We value diversity and encourage candidates from all backgrounds to apply. We are committed to an inclusive workplace that fosters growth and development. Learn more about our culture and opportunities on our website. Join our Talent Community to stay informed about new opportunities. We believe in work/life balance and supporting your overall well-being.