Actuary - Pricing Job at Blue Cross and Blue Shield of Kansas, Topeka, KS

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  • Blue Cross and Blue Shield of Kansas
  • Topeka, KS

Job Description

This job was posted by : For more

information, please see: 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 workgroups 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

Job Tags

Immediate start, Remote work

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