Associate Actuary

Blue Cross and Blue Shield of Louisiana Inc.; Baton Rouge (LA); On-site; USD 110,000 - 170,000; Full time

Job summary

Blue Cross and Blue Shield of Louisiana in Louisiana is seeking an experienced actuary to manage actuarial functions across business segments. This role requires an ASA designation and extensive health actuary experience, with strong Excel and SQL skills and excellent written and verbal communication.

Residency in or relocation to Louisiana is preferred, and the position reports to departmental leadership. You will collaborate with Underwriting, Marketing, IT, Legal and Finance to ensure

Qualifications

• Bachelors in Math/Stats/IT/Economics or related field required.
• 5 years of experience as a health actuary required.
• 2 years of healthcare analytics or similar role may substitute for 2 years of health actuary experience.

Responsibilities

• Develops and oversees methods, systems, models and assumptions to project premium and claim amounts for budgeting and pricing.
• Communicates pricing changes to relevant departments and tests outputs for accuracy.
• Calculates actuarial liabilities and ensures financial statement accuracy.
• Provides regulatory filing preparation and mentorship to actuarial staff.
• Evaluates provider risk sharing arrangements and keeps pricing models up to date.
• Performs trend calculations and analyzes drivers of trend.

Skills

Excel

SQL

Analytical thinking

Communication skills

Technical report writing

Education

Bachelor's Degree in Mathematics, Statistics, IT, Economics or other related field

Associate of the Society of Actuaries (ASA) Designation

Member of the Academy of Actuaries

Job description

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities.

Residency in or relocation to Louisiana is preferred for all positions.

POSITION PURPOSE

This job is responsible for the actuarial management of various functions and business segments.

NATURE AND SCOPE

Manages People.

This job reports to: Departmental Leadership.

Necessary Contacts: Underwriting, Accounting, Marketing, Information Technology, Legal, Provider Network, Business Engineering, Finance, and other employees as needed.

QUALIFICATIONS

Education

• Bachelor's Degree in Mathematics, Statistics, IT, Economics or other related field required.
• Four years of related experience can be used in lieu of a Bachelor’s degree.

Work Experience

• 5 years of experience as a health actuary required.
• 2 years of healthcare analytics experience or similar role may substitute for 2 years out of the 5 years of health actuary experience.

Skills and Abilities

• Expert in actuarial uses of Excel and SQL.
• Excellent analytical and organizational abilities.
• Strong interpersonal and communication skills.
• Strong technical report writing skills required.

Licenses and Certifications

• Associate of the Society of Actuaries (ASA) Designation required.
• Member of the Academy of Actuaries required.

ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS

Develops and oversees maintenance of methods, systems, models and assumptions designed to project premium and claim amounts per member for the purpose of ensuring that budgeted pricing targets are as precise as possible. Communicates pricing changes to Underwriting, Marketing, Information Technology and Actuarial Systems departments and oversees testing of systems output to ensure that the correct price is implemented for each member and that benefit options are accurately quoted. Develops and oversees maintenance of methods, systems, models and assumptions used in estimating actuarial liabilities to ensure that these elements of the financial statements are as accurate as possible. Provides pricing support to the Marketing Department to ensure that new products and benefits are adequately and competitively priced and that pricing is consistent with actuarial principles. Provides support to the Underwriting Department to promote underwriting practices that are consistent with actuarial principles. Prepares and certifies regulatory filings to ensure that the company is in compliance with related laws, regulations, and actuarial standards. Provides career development opportunities and mentoring to Actuarial staff to ensure growth, advancement and a high level of quality and productivity. Evaluates financial impact of various provider risk sharing arrangements and calculates liability under each executed risk arrangement. Maintains ASO PBM pricing models and requests from Underwriting regarding ASO PBM pricing. Works with Pharmacy and Underwriting to stay up to date with pharmacy schedules and pricing arrangements. Calculates medical trends and identifies drivers of trend.

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required.

An Equal Opportunity Employer

In support of our mission to improve the health and lives of Louisianians, we encourage the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, we are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

Company Mission To improve the health and lives of Louisianians. Company Vision A better state of health through preventative, easier and more affordable healthcare Blue Cross and Blue Shield of Louisiana (Louisiana Blue) is incorporated as Louisiana Health Service & Indemnity company and is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana.