Actuary & Manager
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.
Actuary & Manager – Government Markets responsibilities include:
- Perform analysis of historical claims experience, project anticipated costs and develop rate recommendations in support of all Medicare offerings – with the most focus on Medicare group business and Medicare supplement products. Support business goals through adequate pricing for expected medical, administrative and risk charges.
- Manage rate filings and other related requests of CMS, the Pennsylvania Insurance Department (PID) and NJ Department of Banking and Insurance (DOBI). This includes development of bid packages, documentation, rate filings and support for MA individual, group and Medicare Supplement offerings. Look for opportunities to improve the effectiveness of tools and drive for greater accuracy and automation.
- Create and maintain group rating models. Support key customer negotiations, pricing methodology, and recommend changes to methodology as business needs develop. Collaborate with Underwriting to implement MA group rates.
- Partner with Government markets to understand the competitive environment and changing regulatory requirements in order to develop effective strategies.
- Support ad hoc assessments and projects for corporate wide or market specific initiatives
- Support the annual planning (AOP) and forecasting process including revenue and margin assumptions
QUALIFICATIONS:
- Bachelor's degree in Mathematics, Statistics, Economics or Actuarial Science
- Fellowship in the Society of Actuaries preferred
- 5+ years of healthcare industry experience preferred
- 3+ years of Medicare Advantage experience preferre
· Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Diversity, Equity, and Inclusion
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.