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Manager Actuarial Services

BlueCross BlueShield of Tennessee • Remote • Posted 7 days ago

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Remote • Full-time • Mid Level Manager

Job Highlights

Using AI ⚡ to summarize the original job post

The Manager Actuarial Services at BlueCross BlueShield of Tennessee is responsible for developing or overseeing the development and maintenance of models for pricing, forecasting, or valuation across the Commercial and Government lines of business. This role involves data retrieval and preparation, experience monitoring, analysis, and making recommendations based on the results. Additionally, the manager will hire, manage, and develop staff, and ensure compliance with company policies and procedures.

Responsibilities

  • Develop or oversee the development and maintenance of models for pricing, forecasting, or valuation.
  • Oversee the retrieval and preparation of data used in model development.
  • Monitor emerging experience and analyze actual vs expected results.
  • Present results of analysis and make recommendations to actuarial management and business executives.
  • Prepare documentation of methods and assumptions used in the models and experience monitoring.
  • Hire, manage and develop staff.

Qualifications

Required

  • BS or BA Degree in actuarial science, mathematics, statistics or related field
  • 7 years experience in an actuarial or related field
  • Fellow of the Society of Actuaries (FSA) or nearing completion of FSA
  • Member of the American Academy of Actuaries (MAAA)
  • Extensive actuarial knowledge and solid industry awareness
  • Strong analytical skills
  • Strong leadership skills
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills
  • Sound and comprehensive communication and diplomacy skills

Preferred

  • Medicare pricing experience
  • Experience with Medicare Part D
  • Experience with mentoring new employees

About BlueCross BlueShield of Tennessee

BlueCross BlueShield of Tennessee (BCBST) is a prominent health insurance provider in the United States, offering medical, dental, and vision plans for employers, individuals, and families. Operating for over 70 years, BCBST is headquartered in Chattanooga, Tennessee, with a strong focus on providing affordable and comprehensive health insurance coverage to its 3.5 million members in Tennessee and across the nation. Through partnerships and innovative programs like Shared Health, BCBST strives to improve healthcare coordination and patient outcomes while adapting to the changing healthcare landscape to enhance member experience.

Full Job Description

**Job Responsibilities**

+ Develop or oversee the development and maintenance of models to be used for pricing, forecasting, or valuation of the Commercial and Government lines of business\.
+ Oversee the retrieval and preparation of data used in model development\.
+ Monitor emerging experience and analyze actual vs\. expected results, focusing on identifying actionable information\.
+ Present results of analysis and make recommendations to actuarial management and business executives\.
+ Prepare documentation of methods and assumptions used in the models and experience monitoring\.
+ Hire, manage and develop staff\.

**Job Qualifications**

_Education_

+ BS or BA Degree in in actuarial science, mathematics, statistics or related field required

_Experience_

+ 7 years \- Experience in an actuarial or related field required

_Skills\\Certifications_

+ Fellow of the Society of Actuaries \(FSA\) or nearing completion of FSA
+ Member of the American Academy of Actuaries \(MAAA\)
+ Extensive actuarial knowledge and solid industry awareness
+ Strong analytical skills required in order to define and solve problems using multi\-source complex analysis and innovative methods
+ Strong leadership skills
+ Proficient in Microsoft Office \(Outlook, Word, Excel and PowerPoint\)
+ Excellent oral and written communication skills
+ Strong interpersonal and organizational skills
+ Sound and comprehensive communication and diplomacy skills required in order to guide, influence and convince others
+ Ability to manage diverse and dynamic projects under tight time constraints

Medicare pricing experience is preferred\.

Experience with Medicare Part D is preferred

Experience with mentoring new employees is a plus\.

**Number of Openings Available:**

1

**Worker Type:**

Employee

**Company:**

BCBST BlueCross BlueShield of Tennessee, Inc\.

**Applying for this job indicates your acknowledgement and understanding of the following statements:**

BCBST is an Equal Opportunity employer \(EEO\), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made\. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices \(https://www\.bcbst\.com/docs/equal\-employment\-opportunity\.pdf\)

**BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.**

**Tobacco\-Free Hiring Statement**

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products \(including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes\) in any form in Tennessee and where state law permits\. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community\. **All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test\.** An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotineand/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six \(6\) months from the date of the post offer screening results\.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree\.gov or 1\-800\-QUIT\-NOW\.

About Us

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\.

BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\.

BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\. If the applicant moves to Chattanooga, TN, they may be eligible for relocation benefits\.