We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us.
Residency in or relocation to Louisiana is preferred for all positions.
POSITION PURPOSE
This job is responsible for the actuarial management of various functions and business segments.
NATURE AND SCOPE
+ Manages People
+ This job reports to: Departmental Leadership
+ Necessary Contacts: Underwriting, Accounting, Marketing, Information Technology, Legal, Provider Network, Business Engineering, Finance, and other employees as needed.
QUALIFICATIONS
Education
+ Bachelor's Degree in Mathematics, Statistics, IT, Economics or other related field required
+ Four years of related experience can be used in lieu of a Bachelor’s degree.
Work Experience
+ 5 years of experience as a health actuary required
+ 2 years of healthcare analytics experience or similar role may substitute for 2 years out of the 5 years of health actuary experience
Skills and Abilities
+ Expert in actuarial uses of Excel and SQL
+ Excellent analytical and organizational abilities
+ Strong interpersonal and communication skills
+ Strong technical report writing skills required
Licenses and Certifications
+ Associate of the Society of Actuaries (ASA) Designation required
+ Member of the Academy of Actuaries required
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
+ Develops and oversees maintenance of methods, systems, models and assumptions designed to project premium and claim amounts per member for the purpose of ensuring that budgeted pricing targets are as precise as possible.
+ Communicates pricing changes to Underwriting, Marketing, Information Technology and Actuarial Systems departments and oversees testing of systems output to ensure that the correct price is implemented for each member and that benefit options are accurately quoted.
+ Develops and oversees maintenance of methods, systems, models and assumptions used in estimating actuarial liabilities to ensure that these elements of the financial statements are as accurate as possible.
+ Provides pricing support to the Marketing Department to ensure that new products and benefits are adequately and competitively priced and that pricing is consistent with actuarial principles.
+ Provides support to the Underwriting Department to promote underwriting practices that are consistent with actuarial principles.
+ Prepares and certifies regulatory filings to ensure that the company is in compliance with related laws, regulations, and actuarial standards.
+ Provides career development opportunities and mentoring to Actuarial staff to ensure growth, advancement and a high level of quality and productivity.
+ Evaluates financial impact of various provider risk sharing arrangements and calculates liability under each executed risk arrangement.
+ Maintains ASO PBM pricing models and requests from Underwriting regarding ASO PBM pricing. Works with Pharmacy and Underwriting to stay up to date with pharmacy schedules and pricing arrangements.
+ Calculates medical trends and identifies drivers of trend.
Additional Accountabilities and Essential Functions
_The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions_
+ Perform other job-related duties as assigned, within your scope of responsibilities.
+ Job duties are performed in a normal and clean office environment with normal noise levels.
+ Work is predominately done while standing or sitting.
+ The ability to comprehend, document, calculate, visualize, and analyze are required.
An Equal Opportunity Employer
All internal employees please apply through Workday Careers.
PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
In support of our mission to improve the health and lives of Louisianians, we encourage the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
_We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner._
_Additionally, we are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results._
JOB CATEGORY:Insurance