About Blue Cross
Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We’re committed to reinventing health care to improve health for our members and the community. We hope you'll join us.
How Is This Role Important to Our Work?
This position applies broad actuarial principles to develop solutions to variable situations in the areas of health and life insurance. Independent analysis and problem resolution are often required. Presents results of analysis and recommendations to management and other departments. Provide divisional representation or lead role on corporate projects. Actuarial judgement is required.
A Day in the Life:
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A Day in the Life:
- Research, analyze and interpret Medicare Advantage actuarial and statistical data. Provide technical assistance to other departments, estimating impacts and recommending solutions.
- Update, maintain, and improve existing pricing and forecasting models to support the Medicare Advantage Part C product. Coordinate inclusion of Medicare Advantage Part D pricing models.
- Make suggestions to amend or develop products and processes to maintain product viability and financial soundness as a result of analyzing claims, revenue and/or other relevant data.
- Develop mathematical models in connection with other departments (e.g. Network, Risk Adjustment, Compliancs) to predict impact of proposed changes for Medicare Advantage.
- Responsible for divisional representation on corporate projects and may have leadership roles on these teams.
- Independently manage, which may include directing other staff, the retrieval and analysis of data on multiple tasks or projects.
- Act as a resource for other members of the department/division on business issues and may be responsible for training and guidance of Actuarial support personnel or Analysts.
- Makes satisfactory progress according to the Actuarial Student Program guidelines.
- Other specific accountabilities as assigned by management.
Nice to Have:
- Bachelor's degree.
Required Skills and Experiences:
- 3+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
- Actuarial Exams plus VEE requirements-ASA.
- Strong oral and written communication skills.
- Excellent PC skills Knowledge of data retrieval languages.
- Knowledge of BCBSMs databases or industry knowledge.
Role Designation:
Teleworker
Role designation definition: Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely. Onsite is full-time onsite.
Compensation and Benefits:
$85,700.00 - $115,700.00 - $145,700.00 Annual
Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.
We offer a comprehensive benefits package which may include:
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Medical, dental, and vision insurance
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Life insurance
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401k
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Paid Time Off (PTO)
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Volunteer Paid Time Off (VPTO)
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And more
To discover more about what we have to offer, please review our benefits page.
Make a difference
Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.
Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].
All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
What We Do
Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives. Chartered in 1933 as Minnesota’s first health plan, we’ve promoted wider, more economical and timely availability of health services for the people of Minnesota for 80+ years.
Blue Cross® and Blue Shield® of Minnesota is a nonprofit independent licensee of the Blue Cross® and Blue Shield® Association.
