Associate Actuary & Manager
Job Description: We are seeking a dedicated Actuary to join our Actuarial Services team, focusing on Health Value Optimization. This role involves critical analysis and support of vendor contracts, ensuring these align with our strategic goals in health value optimization. The successful candidate will play a key role in influencing how our contracts contribute to the overall value and efficiency of healthcare delivery.
Key Responsibilities:
- Analyze and evaluate vendor contracts with a focus on Health Value Optimization, financial implications, and risk assessment.
- Apply advanced actuarial techniques to model and forecast the impact of vendor contracts on healthcare costs and quality.
- Collaborate with Provider Contracting, Vendor Management, and Clinical Care Innovation teams to ensure contracts support value-based care objectives.
- Lead the assessment of vendor proposals from a health value optimization perspective, ensuring alignment with company's strategic goals.
- Contribute to the development and refinement of value-based and pay-for-performance models in vendor contracts.
- Provide actuarial insight in negotiations to maximize health value and cost-effectiveness of vendor agreements.
- Ensure compliance with relevant regulations and standards, particularly those related to value-based healthcare.
- Communicate complex actuarial analyses and strategies to internal and external stakeholders.
Qualifications:
- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related field.
- Fellow or Associate of the Society of Actuaries (SOA) or similar professional body.
- Demonstrated experience in health insurance or related field, with a focus on health value optimization.
- Strong understanding of healthcare economics, value-based care, and vendor contract structures.
- Proficient in actuarial software and tools (e.g., SAS, SQL, R) and their application in health value analysis.
- Excellent analytical, negotiation, and communication skills, with the ability to articulate the value proposition of complex actuarial strategies.
Hybrid
Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.
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.
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.