Actuarial Consultant for Value-Based Care
3 days ago
Blue Cross and Blue Shield of Kansas is a trusted leader in healthcare, dedicated to delivering exceptional service and innovative solutions. We are seeking an experienced Senior Actuarial Analyst to join our Medical Economics team and drive the success of our value-based care initiatives.
We offer an excellent opportunity for individuals with advanced actuarial skills to leverage their expertise in analyzing and projecting the return on investment of alternative payment models. This role plays a pivotal part in monitoring programs to effectively measure and improve the quality of care while driving cost reductions.
In this position, you will develop and apply advanced actuarial models to project the financial impact and return on investment of alternative payment models. 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 alternative payment models based on analytical insights and industry trends.
You will 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.
This role requires strong analytical and problem-solving skills, as well as the ability to build relationships with experts throughout the company and work collaboratively. Experience with data warehouse structures, data extraction tools, analytics software, and actuarial/statistical modeling methods is essential. You should have 4 or more Society of Actuaries examinations passed and be able to develop predictive models and financial benchmarks. Ability to project precise financial results with uncertain information is also crucial.
The ideal candidate will have a Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Accounting, Actuarial Finance, or similar field. Two or more years' experience in value-based contracting, pricing, reserving, medical economics, or risk adjustment is required. Expert knowledge of Excel is a must, with preferred experience in QMF, Tableau, Power BI, and knowledge in database structures.
We offer an estimated salary of $93,760 - $111,000, which is highly competitive in the region. Our Total Rewards package includes base pay, incentive pay program (EPIP), health/vision/dental insurance, six weeks paid parental leave, fertility/adoption assistance, two weeks paid caregiver leave, five percent 401(k) plan matching, tuition reimbursement, and health & fitness benefits, discounts, and resources.
To excel in this role, you should reside in Kansas or Missouri or be willing to relocate as a condition of employment. This position is eligible to work remotely (eight or less days a month onsite) or hybrid (nine or more days a month onsite) in accordance with our Telecommuting Policy. If you're passionate about healthcare and eager to make a difference, we invite you to explore this exciting opportunity.
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