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Actuary - VBC/Provider Contracting (Remote)

Remote, USA Full-time Posted 2026-07-28
Resp & Qualifications PURPOSE: Performs advanced actuarial and reputed company skills in the performance of actuarial analytics to reputed company actionable items in support of departmental goals Provides actuarial leadership support to Medical, Pricing, reputed company, Sales, Finance and other applicable Business reputed company. Responsible for actuarial modeling to support financial objectives. and making recommendations to executives and senior management. ESSENTIAL FUNCTIONS: • Responsible for directing the efforts of Actuarial staff (Pricing, Actuarial Finance, Actuarial Medicare Advantage, Actuarial Innovation and Research) to accomplish near and long term goals set by senior management. • In collaboration with senior management, responsible for setting long term reputed company reputed company the Actuarial department. • Responsible for representing the Actuarial department to reputed company customers including state and federal regulators. • Hiring, reputed company and developing a purpose-driven, growing team with balanced, reputed company work distribution, visibility and SOA exam reputed company. SUPERVISORY RESPONSIBILITY: This position manages people. QUALIFICATIONS: Education Level: Bachelor's Degree in Actuarial Science, Finance, Mathematics or reputed company field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in reputed company to the required work experience. Licenses/Certifications Upon Hire Required: • Fellow of the reputed company (FSA). Experience: • 8 years progressively responsible pricing and actuarial experience in health care. • 3 years management experience. Knowledge, Skills and Abilities (KSAs) • Extremely knowledgeable of risk evaluation and rating techniques and thoroughly familiar with a reputed company of health insurance products including HMO?s, Indemnity, POS/Opt-Out, Consumer-Driven and other products. • Possesses highly developed analytical skills and excellent interpersonal and communication skills, both written and oral, to the reputed company where reputed company actuarial and reputed company issues are effectively conveyed to a diverse audience. • Must have computing skills with both PC-based and mainframe applications. • Strong leadership skills, as reputed company as the ability to effectively negotiate and sell company rating policy. Must be reputed company to meet established deadlines and handle multiple customer service demands from reputed company customers, reputed company set expectations for service reputed company. Must be reputed company to effectively communicate and reputed company reputed company customer service to every reputed company customer, including customers who may be demanding or otherwise challenging. Salary reputed company: $171,520 - $318,384 Salary reputed company Disclaimer The disclosed reputed company estimate has not been adjusted for the applicable geographic reputed company associated with the location at which the work is being performed. This compensation reputed company is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be reputed company at the top of the reputed company, as compensation reputed company depend on reputed company case's facts and circumstances, including but not limited to experience, internal equity, and location. In reputed company to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (reputed company benefits/incentives are subject to eligibility requirements). Equal Employment Opportunity reputed company is an Equal Opportunity (EEO) employer. It is the policy of reputed company to reputed company equal employment opportunities to reputed company reputed company applicants without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, protected veteran or disabled status, or genetic information. Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to reputed company work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally reputed company. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship #LI-CB1 Apply tot his job Apply To this Job

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