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Blue Cross and Blue Shield of Kansas · 3 days ago

Actuary

Topeka, KS

Full-time

Hybrid

Mid, Senior Level

$116K/yr - $145K/yr

6+ years exp

Blue Cross and Blue Shield of Kansas is looking to add an Actuary to their dedicated Actuarial team. This position 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.

Financial ServicesHealth Care

Growth Opportunities

Responsibilities

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

Qualification

Actuarial ScienceMedicare Advantage pricingAdvanced actuarial modelingExcelSQLPythonRTableauPower BICommunication skillsMentoring

Required

Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related field

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

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