Lead Actuary

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Arkansas Blue Cross and Blue Shield

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1948

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Arkansas Blue Cross and Blue Shield is a health insurance provider licensed to offer health plans in all 75 counties of Arkansas. The company offers a wide range of insurance products including individual and family plans, Medicare and Medigap plans, dental and vision plans, as well as health plans for travelers and employer group plans. They provide members with personalized services such as health management through the Blueprint Portal, where users can manage their health plan, review claims, find healthcare providers, and estimate treatment costs. Arkansas Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.

📋 Description

• Collaborates with internal and external partners to solve complex issues • Compiles, analyzes, and/or develops essential data for Enterprise objectives • Designs, tests, and evaluates models to minimize risk and/or maximize profitability • Develops controlled processes and reliable calculations for liability estimates, including IBNR, risk adjustment, and provider incentive payments • Estimates projections for pricing, reserves, and cash flow, especially to determine rate accuracy • Forecasts product performance and analyzes variances from previous forecasts to identify emerging trends • Manages projects related to Enterprise objectives and Actuarial Division improvements • Mentors and develops Actuaries, Actuarial Analysts, and Data Analysts • Presents actuarial models, exhibits, and forecasts to internal and external customers • Provides actuarial advice and recommendations to upper-level management • Provides timely and accurate information demonstrating compliance with federal and state regulations • Represents the Actuarial Division with internal and external stakeholders • Serves as Division expert on actuarial matters related to assigned products • Supports development of new products and services • Works with and mentors Data Analysts and Actuarial Analysts

🎯 Requirements

• Bachelor's degree in Mathematics, Actuarial Science, Statistics, Economics, Computer Science, Business, or another quantitative-related field • Associate in the Society of Actuaries required • Member in the American Academy of Actuaries required • Minimum ten (10) years' actuarial experience, primarily in healthcare, with demonstrated progression in the Actuary track • Proficient experience using relational databases, statistical packages, spreadsheets, and/or database applications • Experience in rate-making, valuation of assets and liabilities, and experience studies for multiple product types • Experience leading Division/Enterprise projects, including managing Data Analysts, Actuarial Analysts, Actuaries, and/or interns • Advanced knowledge of healthcare financing industries, especially managed care delivery models • Above-average reviews as an Actuary • Mathematical reasoning, critical thinking, detail orientation, communication, analytical problem solving, sound judgment, self-motivation, mentoring, leadership, and time management • Proficiency with Microsoft Excel, Microsoft Access VBA, Microsoft Office, Microsoft Power BI, Microsoft PowerPoint, R Programming, SAS, SQL, Tableau, data analysis, and statistical analysis software • Must ensure security and confidentiality of records and information • Must adhere to segregation-of-duties guidelines in the Administrative Manual

🏖️ Benefits

• Tuition reimbursement • Club Blue, a free, onsite gym • Onsite restaurants promoting healthy eating • Incentives for wellness education and exercise • Inclusive culture and employee connection activities • Community volunteer opportunities