Resp & Qualifications
This position will lead the pricing and actuarial analytical efforts related to multiple lines of business included Medicare Supplemental, FEHBP HMO, Student Health, and Specialty products including dental and vision. This position will also be responsible for leading certain compliance processes within the Actuarial department.
ESSENTIAL DUTIES AND RESPONSIBILITIES may include, but are not limited to, the following:
Responsible for leading the pricing of multiple lines of business including Medicare Supplemental, FEHBP HMO, Student Health Plans and Specialty products including dental and vision. This will involve working with staff and senior management to prepare rate change proposals and working with the applicable regulators to obtain approvals for these proposals. This position will also be the key point of contact within the Actuarial department related to all Specialty product activities.
Specialty Product Analysis Support
Responsible for leading all actuarial analysis related to specialty product new plan development and existing plan maintenance. This would involve working with Actuarial staff as well as other key internal stakeholders (Marketing, Underwriting, Operations, etc.) to effectively execute the corporate strategy as related to the specialty product portfolio. This position will also be responsible for leading efforts to expand pharmacy analytics capabilities within the Actuarial department.
Actuarial Compliance Support
Responsible for leading all actuarial efforts related to compliance activities including but not limited to mental health parity testing and Medicare Part D creditable coverage testing.
Hiring, recruiting and developing a purpose-driven, growing team with balanced, optimal work distribution, visibility and SOA exam success.
Actuarial Group Pricing
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.
Hire Range Disclaimer
Actual salary will be based on relevant job experience and work history.
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.
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