Manager & Actuary
Bring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you
Job Summary:
The Manager & Actuary has ownership of all Actuarial pricing and forecasting support relating to Government Market products including Medicare Advantage Individual, Medicare Advantage EGWP, CHIP, Medicare Supplement, and PDP. This role actively works cross-functionally with many other roles within the department as well as other areas of Finance, Product Development, and P&L Leadership.
Job Duties:
- Owns annual AOP and reforecasting processes, preparing forecast estimates and explaining variances between pricing and prior forecasting projections.
- Leads analysis on emerging regulations around Government market. Presents findings to Sr. Management.
- Develops an understanding of Medicare Advantage regulations and stays current on proposed changes. Assures pricing processes are in compliance with regulations.
- Assists in filings, pricing, & analysis for CHIP, EGWP, and Medicare Supplement product lines.
- Leads analysis on Medicare Advantage emerging trends in medical cost and population mix.
- Manages 2-4 Analysts: communicates and balances key priorities, delegates work appropriately and provides performance feedback/coaching to the team. Supports analysts to facilitate completion of their exams as well as their actuarial and professional development.
- Communicates and collaborates effectively with key stakeholders both in the actuarial department and in other functional areas.
- Works through desk review and audit processes with CMS.
- Performs other duties as assigned
- Bachelor’s degree in Mathematics, Statistics, Economics, Actuarial Services, or related field; or equivalent work experience.
- Fellowship for the society of actuaries (FSA) designation required
- 7+ years of relevant health experience (to include 4+ years in Medicare Advantage bid preparation/desk review).
- Previous experience managing a team.
- Proficiency in Excel, SQL, and BigQuery.
- Independence has implemented a “Hybrid of Choice” model which provides our associates with the flexibility to choose whether to work remotely, work in the office every day, or work in the office on certain days at their discretion. However, management may require our associates to work from Independence’s physical office locations on certain occasions. This role is designated as a role that fits into the “Hybrid of Choice” model. While associates may work remotely, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.
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.