Associate Actuary

4 months ago


Philadelphia, United States Independence Blue Cross Full time
Job Description: We are seeking a dedicated Actuary to join our Actuarial Services team, focusing on Health Value Optimization. This role involves critical analysis and support of vendor contracts, ensuring these align with our strategic goals in health value optimization. The successful candidate will play a key role in influencing how our contracts contribute to the overall value and efficiency of healthcare delivery.

Key Responsibilities:
  • Analyze and evaluate vendor contracts with a focus on Health Value Optimization, financial implications, and risk assessment.
  • Apply advanced actuarial techniques to model and forecast the impact of vendor contracts on healthcare costs and quality.
  • Collaborate with Provider Contracting, Vendor Management, and Clinical Care Innovation teams to ensure contracts support value-based care objectives.
  • Lead the assessment of vendor proposals from a health value optimization perspective, ensuring alignment with company's strategic goals.
  • Contribute to the development and refinement of value-based and pay-for-performance models in vendor contracts.
  • Provide actuarial insight in negotiations to maximize health value and cost-effectiveness of vendor agreements.
  • Ensure compliance with relevant regulations and standards, particularly those related to value-based healthcare.
  • Communicate complex actuarial analyses and strategies to internal and external stakeholders.

Qualifications:
  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field.
  • Fellow or Associate of the Society of Actuaries (SOA) or similar professional body.
  • Demonstrated experience in health insurance or related field, with a focus on health value optimization.
  • Strong understanding of healthcare economics, value-based care, and vendor contract structures.
  • Proficient in actuarial software and tools (e.g., SAS, SQL, R) and their application in health value analysis.
  • Excellent analytical, negotiation, and communication skills, with the ability to articulate the value proposition of complex actuarial strategies.

Hybrid

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.

Equal Employment Opportunity

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

  • Philadelphia, United States Kalos Consulting, Inc. Full time

    Job DescriptionJob DescriptionCompany OverviewActuarial firm with approximately 100 employees and multiple office locations nationwide. They are a rapidly growing employee-owned actuarial and financial consulting firm focused on providing health and pension actuarial consulting services.With a mission to empower benefit plan sponsors to understand and better...

  • Assistant Actuary II

    4 months ago


    Philadelphia, United States Independence Blue Cross Full time

    Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment...


  • Philadelphia, Pennsylvania, United States Axcelus Financial Life Insurance Company Full time

    Job OverviewSalary: CompetitivePosition SummaryThe primary role of this position is to lead the actuarial modeling efforts for all products and carriers at Axcelus Financial Life Insurance Company. Key responsibilities include the maintenance and enhancement of the MG-ALFA model, conducting monthly financial projections and analyses, performing Asset...


  • Philadelphia, United States Willis Towers Watson Full time

    Job DescriptionAs a Healthcare Financial/Actuarial Associate you will contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement and financial analysis of the full spectrum of employer health and group benefit programs including medical, dental, life, disability, voluntary benefits, etc. You will interface...


  • Philadelphia, Pennsylvania, United States Axcelus Financial Life Insurance Company Full time

    Position OverviewSalary: CompetitiveRole Summary:The primary responsibility of this role is to lead the modeling efforts for all products and carriers at Axcelus Financial Life Insurance Company. This includes overseeing the maintenance and enhancement of the MG-ALFA model, conducting monthly financial forecasts and analyses, performing Asset Adequacy...


  • Philadelphia, United States Willis Towers Watson Full time

    Job DescriptionCandidates from the following locations will be considered: Boston, MA, New York, NY, Short Hills, NJAs a Healthcare Financial/Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will substantially contribute to a wide variety of complex analyses and projects involving...


  • Philadelphia, United States Willis Towers Watson Full time

    Job DescriptionCandidates from the following locations will be considered:Boston, MA, New York, NY, Short Hills, NJAs a Healthcare Financial/Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will substantially contribute to a wide variety of complex analyses and projects involving the...


  • Philadelphia, United States Independence Blue Cross Full time

    Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.The Independence Infocus configuration team is a small and...


  • Philadelphia, United States Willis Towers Watson Full time

    Job DescriptionAs a Health and Benefits Lead Associate you will contribute to a wide variety of complex projects involving the design, financing and ongoing management of the full spectrum of health and benefit programs. You will serve as the project manager on select projects, interface with vendors and key clients internally and externally, create client...


  • Philadelphia, United States WTW Full time

    As a Health and Benefits Senior Associate, you will be a key member of the client service team, engaging directly with clients and establishing relationships across all levels of the client organization. You will substantially contribute to the management of projects, leveraging your experience as a benefits expert to make recommendations on plan design and...


  • Philadelphia, United States Chubb Full time

    Job DescriptionSenior Financial Analyst The Global Casualty Home Office Finance team is a dedicated group of professionals who provide actionable information to executives and senior managements on a timely basis. We currently have an excellent, unique opportunity in our Philadelphia office for an experienced MIS professional in the role of MIS/Financial...


  • Philadelphia, United States Chubb Full time

    Job DescriptionFinancial Reporting Specialist The Global Casualty Home Office Finance team is a dedicated group of professionals who provide actionable information to executives and senior managements on a timely basis. We currently have an excellent, unique opportunity in our Philadelphia office for an experienced MIS professional in the role of...


  • Philadelphia, United States Willis Towers Watson Full time

    Job DescriptionWTW is looking for a senior reserving professional with extensive experience in North America (US, Canada, and Bermuda) insurance and reinsurance to lead the North America P&C Reserving Proposition of WTW's Insurance Consulting and Technology (ICT) business. In this role, you will drive the development of and continuous improvement of WTW's...


  • Philadelphia, United States Independence Blue Cross Full time

    Looking for a chance to show what you can do in an environment that will appreciate you and help you grow? If you are learning-oriented, strive for excellence, and have a strong customer commitment, bring your talents to Independence Blue Cross as we seek to enhance the health and well-being of the people and communities we serve. As a member of Independence...

  • Data Insight

    4 weeks ago


    Philadelphia, United States Independence Blue Cross Full time

    Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.The Data Insights & Reporting Analyst will conduct data...

  • Senior Data Insights

    2 months ago


    Philadelphia, United States Independence Blue Cross Full time

    Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.The Sr. Data Insights & Reporting Analyst will conduct data...


  • Philadelphia, United States Ascensus Full time

    Section 1: Position SummaryServe as a resource to plan sponsors and financial advisors for matters related to ERISA compliance, plan design and governmental reporting. This person is the single point of contact for employer, financial profession and plan sponsor for their accounts.  A Retirement Plan Consultant is able to handle client meetings both in...


  • Philadelphia, Pennsylvania, United States Philadelphia Yearly Meeting Full time

    Vice President of FinancePosition Overview: The Vice President of Finance at Philadelphia Yearly Meeting (PYM) is tasked with overseeing all fiscal operations, which encompass operational, restricted, and capital budgets, financial strategy and analysis, risk assessment, and adherence to regulatory standards. PYM employs 25 individuals and manages a total...