Actuary - VBC/Provider Contracting (Remote)

CareFirst, Inc.; Baltimore (MD); Remote; USD 172,000 - 318,000; Full time

Job summary

CareFirst, Inc. is seeking an experienced actuary to lead actuarial analytics and oversee pricing, underwriting, and related business units. The role involves directing staff, shaping long-term strategy, and representing actuarial concerns to regulators and executives.

Ideal candidates will have 8+ years in health-care pricing/actuarial work, 3 years of management, and a Fellow of the Society of Actuaries (FSA). Strong leadership, communication, and risk evaluation skills are essential.

Qualifications

• Bachelor's degree in Actuarial Science, Finance, Mathematics or related field; or equal experience.
• FSA certification required upon hire.
• 8 years pricing/actuarial health care experience plus 3 years management.
• Strong leadership, communication and regulatory liaison abilities.
• Proficiency with actuarial modelling and risk evaluation techniques.

Responsibilities

• Direct actuarial staff to meet senior management goals and timelines.
• Set long-term strategy for the Actuarial department in collaboration with leadership.
• Represent actuarial functions to internal/external customers and regulators.
• Hire and develop a growing team with SOA exam progress and optimal workload.

Skills

Actuarial leadership

Risk evaluation

Analytical skills

Communication skills

Negotiation

Education

Bachelor's degree in Actuarial Science or related field

FSA certification

Tools

PC-based software

Mainframe systems

Job description

Resp & Qualifications

PURPOSE:
Performs advanced actuarial and oversight skills in the performance ofactuarial analytics to develop actionable items in support of departmental goalsProvides actuarial leadership support to Medical, Pricing, Underwriting, Sales, Finance and other applicable Business Units. Responsible for actuarial modeling to support financial objectives. and making recommendations to executives and senior management.
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 Upon Hire Required:

• Fellow of the Society of Actuaries (FSA).

Experience

• 8 years progressively responsible pricing and actuarial experience in health care.
• 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 HMO?s, 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 Disclaimer

Salary Range: $171,520 - $318,384

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 responsibilities 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).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of theCompany to provide equal employment opportunities to allqualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

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