Senior Actuarial Analyst
5 days ago
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.
- 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.
- 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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