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Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to work in the United States on a full-time basis. ARKANSAS BLUE CROSS BLUE SHIELD will NOT sponsor applicants for work visas in this position.
Arkansas Blue Cross is only seeking applicants for remote positions from the following states:
Arkansas, Florida, Georgia, Illinois, Kansas, Louisiana, Minnesota, Mississippi, Oklahoma, South Carolina, Tennessee, Texas, Virginia and Wisconsin.
Remote
Job Summary
The Actuary is directly involved with the gain and loss equation for the Enterprise. The primary responsibilities include those of rate making for risk assumption products and the setting of liabilities for those same products at all financial reporting points in time. The former determines the parameters for profitability for the Enterprise via the cost-based alignment of expected costs vs. product price. The latter is a score keeping function that aligns the same two issues in retrospect.
Requirements
EDUCATION
Bachelor's degree in Mathematics, Actuarial Science, Statistics, Economics, Computer Science, Business or other quantitative-related field.
LICENSING/CERTIFICATION
Associate in the Society of Actuaries required.
Member in the American Academy of Actuaries preferred.
EXPERIENCE
Minimum five (5) years' actuarial experience, with majority of experience in healthcare and with demonstrated progression in the Actuarial Analyst track.
Proficient experience in the use of relational databases, statistical packages, spreadsheet and/or database application.
Experience in rate-making, valuation of assets and liabilities, and experience studies for at least one product type
Possess advanced knowledge of the healthcare financing industries with emphasis on managed care delivery models.
Above average reviews as a Senior or Lead Actuarial Analyst.
ESSENTIAL SKILLS & ABILITIES
Mathematical Reasoning Skills
Critical Thinking
Detail-Oriented
Verbal and Written Communication Skills
Microsoft Excel Data Analysis
Microsoft Access VBA
Stress Management
Analytical Problem Solving
Sound Judgment
Self Motivation
Skills
Analytical Problem Solving, Critical Thinking, Detail-Oriented, Mathematical Reasoning Skills, Microsoft Access VBA, Microsoft Excel Data Analysis, Self Motivation, Sound Judgment, Stress Management, Verbal and Written Communication Skills
Responsibilities
Collaborating with internal and external partners to solve complex issues., Compiling, analyzing, and/or developing essential data for Enterprise objectives., Designing, testing, and evaluating models to further Enterprise goals, including minimizing risk and/or maximizing profitability., Developing controlled processes and reliable calculations for liability estimates (IBNR, risk adjustment, provider incentive payments, etc.)., Estimating projections for pricing, reserves and/or cash flow purposes, especially to determine rate accuracy., Forecasting product performance and analyzing variances from previous forecasts to identify emerging trends., Presenting actuarial models, exhibits, and forecasts to internal and external customers. Ability to represent the Actuarial Division and Actuarial Profession well., Providing actuarial advice to upper-level management. Ability to communicate recommendations clearly and confidently., Providing timely and accurate information that demonstrates compliance with federal and state regulations., Representing the Actuarial Division with compentency and professionalism to internal and external stakeholders., Supporting development of new products and services for the Enterprise., Working with and acting as a mentor to Data Analysts and Actuarial Analysts, and helping maintain an environment that encourages learning.
Certifications
Security Requirements
This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.
Segregation of Duties
Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.
Employment Type
Regular
ADA Requirements
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.