Senior Actuary – Medicare Advantage Pricing; Remote

Position: Senior Actuary – Medicare Advantage Pricing (Remote)

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** 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 work groups 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 off#J-18808-Ljbffr