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Actuary

Blue Cross and Blue Shield of Kansas -
Remote

Apply Now

Job Details

$116,000 - $145,000 a year

Benefits

Paid parental leave
Caregiver leave
Health insurance
Dental insurance
Tuition reimbursement
Adoption assistance
Parental leave
Vision insurance
401(k) matching
Gym membership

Qualifications

Financial forecasting
Data visualization software proficiency
Financial model construction
Business strategy analysis
Health insurance policy knowledge
R
SQL
Business intelligence tools
Bachelor's degree
Claims reserving
Public health
Leading team collaboration initiatives
Pricing analysis experience within healthcare industry
Financial projection model development
Predictive analytics projects
Financial forecasting analysis
Risk & issue management
Project leadership
Cross-functional team management
Model evaluation
Data visualization projects
Technical Proficiency
Python
Health economics data analysis
Cross-functional communication
Segmentation analysis

Full Job Description

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 leads analysis and measurement of affordability initiatives that support Population Health, Care Management, and other clinical programs. This role partners closely with clinical and business leaders to quantify clinical program impact, evaluate return on investment, and identify new opportunities to improve health outcomes while reducing total cost of care.

The Actuary develops innovative analytical frameworks, predictive models, and detection tools to identify cost drivers, emerging hotspots, and new intervention opportunities. Responsibilities include tracking, quantifying, and validating the financial impact of strategic initiatives, translating complex data into actionable insights, and supporting enterprise affordability goals through data-driven decision making.

Success in this role requires strong actuarial and analytical expertise, experience supporting clinical and population health initiatives, an ownership mindset, creative problem-solving skills, and the ability to lead cross-functional efforts that deliver measurable savings and sustainable improvements in member health outcomes.

"This position is eligible to work remote, hybrid or onsite in accordance with our Telecommuting Policy."

What you'll do

Lead actuarial analyses related to pricing, forecasting, financial performance, and strategic planning across multiple lines of business.
Lead cross-functional collaboration with internal and external partners to develop and continuously improve actuarial models, ensuring alignment with strategic objectives and accountability for model performance.
Own the development, maintenance, and enhancement of actuarial models for unpaid claims liability, financial and enrollment projections, and trend analysis; ensure accuracy and effectiveness through ongoing monitoring and improvement.
Translate complex actuarial findings into actionable business insights to support budgeting, planning, and strategy.
Conduct ad-hoc analyses related to benefit design, regulatory changes, and market dynamics.
Interpret and communicate forecast variances and underlying drivers to senior leadership, providing strategic insights and recommendations to inform decision-making and guide financial planning.
Monitor industry trends, regulatory developments, and emerging risks across relevant markets.
Provide strategic and technical actuarial expertise across functions including network discount modeling, audit support, risk score analysis, product development, pricing strategy, and cross-functional collaboration.
Participate in cross-functional workgroups focused on product strategy, financial performance, and operational improvements.
Independently prepare and report key actuarial outputs, including statewide annual rate filings and related communications, with minimal guidance and high accountability.
Mentor junior actuarial staff and contribute to knowledge sharing across the actuarial team.

What you need

Education and Experience:

Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related field required
Associateship or Fellowship designation in the Society of Actuaries (SOA) required.
Minimum of 6 years of actuarial experience with pricing, forecasting, trend analysis, risk management, strategic planning, and/or program evaluation 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

Strong understanding of health insurance pricing, regulations, and market dynamics.
Proficiency in Excel, SQL, Python, R, Tableau, and/or Power BI, with experience in actuarial modeling, data analysis, and visualization.
Familiarity with rating and underwriting regulations and an understanding of insurance marketing and customer segmentation.
Ability to develop adaptable models for rates, reserves, and projections in a dynamic environment.
Experience leading cross-functional teams to define metrics, validate assumptions, and align with enterprise goals.
Effective communication skills with the ability to explain technical concepts to non-technical audiences.

Compensation

$116,000 - $145,000

Exempt Grade 18

Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

Apply Now

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Exempt Grade 18

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