Actuary - Pricing

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas. You Belong At Blue Why Join Us? Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans. Family Comes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire Professional Growth Opportunities: Advance your career with ongoing training and development programs. Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility. Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community. Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected. Benefits & Perks Base compensation is only one component of your 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 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 MA 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 is 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 is 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. Compensation $116,000 - $145,000 Exempt Grade 18 Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts. Our Commitment to Connection and Belonging At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Our Commitment to Connection and Belonging At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment. For more than 70 years, Blue Cross and Blue Shield of Kansas has built a reputation of trust. As we move forward in this new era of health care we want to continue that tradition. Whether a member needs Blue Cross to cover an annual check-up or give them peace of mind during a major medical crisis, we want our members to know they can trust BCBSKS to meet their needs. Our mission: Being the insurer Kansans trust with their health. Our Commitment to Connection and Belonging At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.