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Premera Blue Cross

Health benefits plans and related services

Actuary

Actuarial & Risk ModellingConfirmed live in the last 24 hours
Full-timeMountlake Terrace, WA, USA$123.2k - $209.4k

About the Job

Requirements

  • A bachelor's degree in Mathematics, Statistics, Actuarial Science, Computer Science, or a related field, or four years of work experience.
  • Five years of experience in health insurance.
  • An active Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) designation.
  • Ability to manage projects and people effectively.
  • Knowledge of Visual Basic and SQL programming.
  • Knowledge of health insurance concepts and terms, including a solid understanding of insurance risk.
  • Strong analytical, problem-solving, and troubleshooting skills, including the ability to make decisions and communicate how conclusions and decisions were derived.
  • Ability to provide strategic analytical design of projects.
  • Ability to work independently and as a member of a team.
  • Ability to interact effectively cross-functionally, across department lines, and with all levels of management.
  • Strong attention to detail.
  • Written and verbal communication skills, including the ability to communicate technical actuarial concepts to non-actuaries.
  • Extensive computer experience, including working with complex spreadsheets, databases, and programs.
  • Proficiency in a computer programming language and aptitude to learn others.
  • Proficiency with standard Microsoft Office products, including Word, Excel, PowerPoint, and Access.
  • Ability to exert up to 10 pounds of force occasionally and a negligible amount frequently or constantly to move objects, including the human body, with or without accommodation.
  • Ability to keyboard and communicate clearly and understandably in person and over the telephone.

Responsibilities

  • Consult with department management to establish project goals, work plan objectives, analytical strategies, and timeline requirements for assigned work products.
  • Recommend team priorities, analytical work, and responsibilities for project support staff.
  • Provide ongoing and ad hoc actuarial support to other departments as appropriate.
  • Create written communications and peer review written communications and analyses produced by the project team.
  • Conduct peer review and documentation of complex analytical analyses.
  • Assess risk and develop analytical strategies.
  • Provide data and actuarial calculations for analyses of existing and proposed products and benefits, provider risk pools, stop loss, and administrative costs as required.
  • Conduct peer reviews of technical work produced by the analyst team.
  • Monitor and review analytical data from various departments for content, accuracy, associated problems, and recommendations for corrective action.
  • Document corrective actions in detail, including discussion of their effects on Plan results, for distribution.
  • Develop and interpret trend data.
  • Draft written discussions interpreting actuarial issues and create analytical presentations to support those interpretations; peer review written material developed by project support staff.
  • Mentor or train more junior analysts or other actuarial staff.
  • Present findings and consult as needed with multiple levels of internal and external client leadership.
  • Identify problem areas in any facet of Plan operations and recommend or implement changes to improve operations or help attain Plan goals.
  • Develop and maintain computer programs.
  • Prepare rate and provider reimbursement studies.
  • Conduct statistical analyses and produce reports.
  • Perform other actuarial and analytical work.
  • Develop detailed project plans defining the scope and strategic approach for each analysis.

About the Company

Premera Blue Cross

Health benefits plans and related services

Premera Blue Cross is a regional health plan based in Mountlake Terrace, Washington, serving more than 2.8 million people in Alaska and Washington. It provides comprehensive health benefits and a wide range of related services, including health, life, vision, dental, stop-loss, disability, and workforce wellness offerings. Its products are delivered through employer groups, individuals, and other customers, with a focus on tailored services, quality outcomes, and cost control to make healthcare work better for customers. Premera differentiates itself by operating as an Independent Licensee of the Blue Cross Blue Shield Association in its Pacific Northwest footprint, offering a broad benefits portfolio and services such as language assistance and accessible support to meet civil rights and customer needs. The company’s goal is to improve customers’ lives by making healthcare easier to access, understand, and manage, while maintaining affordable, quality care.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Mountlake Terrace, WA
Founded
1933

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