Resp & Qualifications

PURPOSE: 
This position oversees and directs the work of analysts in a supervisory capacity. This position is responsible for implementing departmental strategy and policies in order to meet team goals, as well as making recommendations to Actuarial management where appropriate.  

The primary responsibilities of this position includes but not limited to

1. Identify cost of care opportunities for medical management for all lines of business.
2. Work cross-functionally with Health Economics, Financial Planning & Analysis, and Clinical Management teams.
3. Support the evaluation, monitoring, and reporting of the initiatives' performances.

ESSENTIAL FUNCTIONS:

• Responsible for coordinating the activities analysts ensuring accurate and timely release of requested analyses and reports. Responsible for providing training, development, documenting performance issues, if needed, and monitoring and enforcing adherence to Company policies. The Supervisor sets objectives, writes and deliveries performance feedback and appraisals, promotions, salary increases, hiring and disciplinary communications.
  
  
  
• Responsible for coordinating the development and extensive analytical review of various actuarial analyses such as IBNR, trend, rating actions, and valuation work in support of departmental objectives. This includes supporting the junior team members, working with other areas within the Company, producing presentations for senior management and communicating status of deliverables to the department management. 
  
  
  
• Oversee calculations, serve as Subject Matter Expert (SME), direct the workflow and ensure that sound actuarial and financial methods are used by Analysts.  
  
  

SUPERVISORY RESPONSIBILITY:
This position manages people.


QUALIFICATIONS:

Education Level: Bachelor's Degree in Actuarial Science, Finance, Mathematics or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 3 years health actuarial experience with demonstrated leadership.

Knowledge, Skills and Abilities (KSAs)

• Ability to organize to task completion, plan and prioritize work.
• Must demonstrate flexibility, innovation and problem-solving skills and resourcefulness.
• Ability to express technical and financial analysis in a clear, concise manner on both written and oral form.
• Must possess negotiating and consulting skills.
• Possesses highly developed analytical skills and excellent interpersonal and communication skills, both written and oral.
• Effectively convey actuarial and/or underwriting issues to a diverse audience., Advanced
  
  

Licenses/Certifications: Associate of the Society of Actuaries (ASA)  Upon Hire Required.

Salary Range: $97,344 - $200,772

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Actuarial Member Analytics and

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.

#LI-CB1