Senior Actuarial Analyst at Blue Cross Blue Shield Kansas in Topeka, Kansas

Job Description:

Blue Cross and Blue Shield of Kansas is looking to add to our Medical Economics team and has a new opportunity for a Sr Actuarial Consultant. This position will play a pivotal role in analyzing and projecting the return on investment of various value-based care and alternative payment models (APM). This position is responsible for monitoring programs to effectively measure and improve the quality of care while simultaneously driving cost reductions. The ideal candidate will leverage advanced actuarial techniques to provide critical insights that support decision-making processes, ensuring that our models promote financial sustainability and enhanced patient outcomes.


"This position is eligible to work remotely (8 or less days a month onsite) or hybrid (9 or more days a month onsite) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."



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Why Join Us?

• 
  Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.


• 
  Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.


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  Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.


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  Stability: 80 years of commitment, compassion, and community

• 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.

• Develop and apply advanced actuarial models to project the financial impact and return on investment of alternative payment models.


• Conduct thorough analyses to monitor and evaluate the performance of value-based initiatives, focusing on quality improvement and cost reduction.


• Collaborate with healthcare providers, management, and other stakeholders to gather data and insights necessary for accurate modeling and analysis.


• Participate in strategic planning sessions to influence the direction of alternative payment models based on analytical insights and industry trends.


• Lead the continuous improvement of actuarial methodologies and tools used for APM evaluation and forecasting.


• Prepare detailed reports and presentations that communicate complex actuarial findings and recommendations to non-technical audiences, including senior leadership.


• Mentor junior staff and provide guidance on best practices in healthcare analysis.

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Accounting, Actuarial Finance, or similar. Candidates should have a solid foundation in statistical analysis, equipped with strong management techniques and comprehensive business acumen.


• 2 or more years' experience in value-based contracting, pricing, reserving, medical economics, or risk adjustment.


• Experience with data warehouse structures, data extraction tools, analytics software, and actuarial/statistical modeling methods.


• 4 or more Society of Actuaries examinations passed.


• Ability to develop predictive models and financial benchmarks.


• Ability to project precise financial results with uncertain information.


• Skill in analyzing financial data using advanced statistical methods and data mining.


• Ability to build relationships with experts throughout the company and work collaboratively.


• Ability to handle multiple projects, prioritize effectively, and lead strategic initiatives.


• Developing project management skills and ability to contribute to team efforts.


• Good written and oral communication skills, with the ability to support stakeholder communications.


• Advanced analytical, problem-solving, and research skills


• Expert knowledge of Excel is required, with preferred experience in QMF, Tableau, Power BI, and knowledge in database structures.

• Base pay 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
  
  
  • 5% 401(k) plan matching
  
  
  • Tuition reimbursement
  
  
  • Health & fitness benefits, discounts and resources