Actuary - Pricing

Blue Cross and Blue Shield of Kansas • Topeka, KS

1d • $116,000 - $145,000 • Hybrid

About The Position

The Actuary will play a critical role in connecting pricing and trend analysis expertise with actuarial principles to support health plan pricing, forecasting, and strategic decision-making. This position leads actuarial efforts related to MA Part C and D bids, profitability analysis, and financial modeling, while providing insights and reporting to senior leadership and cross-functional stakeholders. “This position is eligible to work remotely, hybrid or onsite in accordance with our Telecommuting Policy.”

Requirements

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related field is required.
• Associateship or Fellowship designation in the Society of Actuaries (SOA) and membership in the American Academy of Actuaries (AAA) required.
• Minimum of 6 years of actuarial experience with pricing, forecasting, trend analysis, risk management, strategic planning, and/or program evaluation is required.
• Experience with building and evaluating new actuarial models, project management, communication with senior leadership, and tracking actual to expected outcomes required.
• In-depth knowledge of Medicare Advantage pricing, regulations, and market dynamics.
• Proficiency in Excel, SQL, Python, R, Tableau, and/or Power BI, with experience in advanced actuarial modeling, data analysis, and visualization.
• Knowledge of rating and underwriting regulations across multiple states as well as an understanding of health insurance marketing, sales strategies, and customer segmentation.
• Ability to develop adaptable models for rates, reserves, and projections in a dynamic environment.
• Lead and influence cross-functional teams to define metrics, validate assumptions, and ensure alignment with enterprise goals.
• Present findings and recommendations to senior leadership, translating complex actuarial insights into actionable strategies.
• Effective communication skills with the ability to explain technical concepts to non-technical audiences.
• Mentor junior actuarial staff and contribute to knowledge sharing across the actuarial team.

Responsibilities

• Serve as the actuarial liaison with external consultants for Medicare Advantage Part C and D bid development.
• Conduct profitability and forecasting analyses for Medicare Advantage plans, including cohort-level insights.
• Translate actuarial findings into actionable business insights to support budgeting, planning, and strategy.
• Perform ad-hoc analyses related to Star ratings, benefit changes, and regulatory impacts.
• Communicate forecast variances and key drivers to senior leadership.
• Monitor trends and regulatory developments across Medicare Advantage, PDP, and Medigap markets.
• Provide strategic input on product development, pricing variables, and market positioning.
• Participate in cross-functional workgroups focused on the strategy and performance of the over-65 product portfolio.
• Support actuarial exhibits for regulatory filings and validate system/database changes impacting actuarial research.

Benefits

• Base compensation is only one component of your competitive Total Rewards package
• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 401(k) plan matching up to 5%
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees