Senior Actuarial Analyst

5 days ago


Topeka, Kansas, United States Blue Cross and Blue Shield of Kansas Full time
Senior Actuarial Analyst Opportunity

Blue Cross and Blue Shield of Kansas is seeking a highly skilled Senior Actuarial Analyst to join our Medical Economics team. This role will play a critical part in analyzing and projecting the financial impact of alternative payment models (APMs) and value-based care initiatives.

Key Responsibilities:
  • Develop and apply advanced actuarial models to project the financial impact of APMs and value-based care initiatives.
  • Conduct thorough analyses to monitor and evaluate the performance of value-based initiatives, focusing on quality improvement and cost reduction.
  • Collaborate with healthcare providers, management, and other stakeholders to gather data and insights necessary for accurate modeling and analysis.
  • Participate in strategic planning sessions to influence the direction of APMs and value-based care initiatives based on analytical insights and industry trends.
  • Lead the continuous improvement of actuarial methodologies and tools used for APM evaluation and forecasting.
  • Prepare detailed reports and presentations that communicate complex actuarial findings and recommendations to non-technical audiences, including senior leadership.
  • Mentor junior staff and provide guidance on best practices in healthcare analysis.
Requirements:
  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Accounting, Actuarial Finance, or similar.
  • 2 or more years' experience in value-based contracting, pricing, reserving, medical economics, or risk adjustment.
  • Experience with data warehouse structures, data extraction tools, analytics software, and actuarial/statistical modeling methods.
  • 4 or more Society of Actuaries examinations passed.
  • Ability to develop predictive models and financial benchmarks.
  • Ability to project precise financial results with uncertain information.
  • Skill in analyzing financial data using advanced statistical methods and data mining.
  • Ability to build relationships with experts throughout the company and work collaboratively.
  • Ability to handle multiple projects, prioritize effectively, and lead strategic initiatives.
  • Developing project management skills and ability to contribute to team efforts.
  • Good written and oral communication skills, with the ability to support stakeholder communications.
  • Advanced analytical, problem-solving, and research skills.
  • Expert knowledge of Excel is required, with preferred experience in QMF, Tableau, Power BI, and knowledge in database structures.
Benefits and Perks:
  • Competitive salary range: $93,760 - $111,000.
  • Exempt Grade 17.
  • Excellent benefits package, including health, vision, and dental insurance.
  • 6 weeks paid parental leave for new mothers and fathers.
  • Fertility/adoption assistance.
  • 2 weeks paid caregiver leave.
  • 5% 401(k) plan matching.
  • Tuition reimbursement.
  • Health and fitness benefits, discounts, and resources.

This is an exciting opportunity to join a dynamic team and contribute to the success of Blue Cross and Blue Shield of Kansas. If you are a motivated and experienced actuarial professional, we encourage you to apply for this role.


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