Actuary

Blue Cross and Blue Shield of Kansas•Topeka, MO

1d•$116,000 - $145,000•Hybrid

About The Position

The Actuary leads analysis and measurement of affordability initiatives that support Population Health, Care Management, and other clinical programs. This role partners closely with clinical and business leaders to quantify clinical program impact, evaluate return on investment, and identify new opportunities to improve health outcomes while reducing total cost of care. The Actuary develops innovative analytical frameworks, predictive models, and detection tools to identify cost drivers, emerging hotspots, and new intervention opportunities. Responsibilities include tracking, quantifying, and validating the financial impact of strategic initiatives, translating complex data into actionable insights, and supporting enterprise affordability goals through data-driven decision making. Success in this role requires strong actuarial and analytical expertise, experience supporting clinical and population health initiatives, an ownership mindset, creative problem-solving skills, and the ability to lead cross-functional efforts that deliver measurable savings and sustainable improvements in member health outcomes. This position is eligible to work remote, hybrid or onsite in accordance with our Telecommuting Policy.

Requirements

Bachelor's degree in Actuarial Science, Mathematics, Statistics, Finance, Economics, or a related field required
Associateship or Fellowship designation in the Society of Actuaries (SOA) required.
Minimum of 6 years of actuarial experience with pricing, forecasting, trend analysis, risk management, strategic planning, and/or program evaluation required.
Experience with building and evaluating new actuarial models, project management, communication with senior leadership, and tracking actual to expected outcomes required.
Strong understanding of health insurance pricing, regulations, and market dynamics.
Proficiency in Excel, SQL, Python, R, Tableau, and/or Power BI, with experience in actuarial modeling, data analysis, and visualization.
Familiarity with rating and underwriting regulations and an understanding of insurance marketing and customer segmentation.
Ability to develop adaptable models for rates, reserves, and projections in a dynamic environment.
Experience leading cross-functional teams to define metrics, validate assumptions, and align with enterprise goals.
Effective communication skills with the ability to explain technical concepts to non-technical audiences.

Responsibilities

Lead actuarial analyses related to pricing, forecasting, financial performance, and strategic planning across multiple lines of business.
Lead cross-functional collaboration with internal and external partners to develop and continuously improve actuarial models, ensuring alignment with strategic objectives and accountability for model performance.
Own the development, maintenance, and enhancement of actuarial models for unpaid claims liability, financial and enrollment projections, and trend analysis; ensure accuracy and effectiveness through ongoing monitoring and improvement.
Translate complex actuarial findings into actionable business insights to support budgeting, planning, and strategy.
Conduct ad-hoc analyses related to benefit design, regulatory changes, and market dynamics.
Interpret and communicate forecast variances and underlying drivers to senior leadership, providing strategic insights and recommendations to inform decision-making and guide financial planning.
Monitor industry trends, regulatory developments, and emerging risks across relevant markets.
Provide strategic and technical actuarial expertise across functions including network discount modeling, audit support, risk score analysis, product development, pricing strategy, and cross-functional collaboration.
Participate in cross-functional workgroups focused on product strategy, financial performance, and operational improvements.
Independently prepare and report key actuarial outputs, including statewide annual rate filings and related communications, with minimal guidance and high accountability.
Mentor junior actuarial staff and contribute to knowledge sharing across the actuarial team.