Job Description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

This position is Hybrid within the state of AZ only.  This Hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

Purpose of the job

Conducted or supervised projects related to pricing or forecasting competitive premium levels for individual products.

REQUIRED QUALIFICATIONS

Required Work Experience

  • For grade level 27, no experience is required
  • For grade levels 28 and higher, 2 years of experience in an actuarial field

Required Education

  • Bachelor's Degree in actuarial science, business, mathematics, statistics, economics or related field of study

Required Licenses

  • N/A

Required Certifications

  • N/A

PREFERRED QUALIFICATIONS

Preferred Work Experience
  • 2+ years of experience working for a healthcare organization / health insurer
  • 2+ years of experience in an actuarial
  • 2+ years of experience assisting in the development group premium rates
  • 1+ year of experience programming pricing engines with Optum Step Wise tool
Preferred Education
  • Bachelor's Degree in actuarial science, business, mathematics, statistics, economics or related field of study

Preferred Licenses

  • N/A

Preferred Certifications

  • Associate, Society of Actuaries (ASA)
  • Member of the American Academy of Actuaries (MAAA)

ACTUARIAL ANALYST I - II // Associate Actuary II - III

  • Under general supervision, develop and modify Step Wise formulas.  Formulas will be used to develop small and large group premium rates, invoicing, and compliance with federal and state regulations.
  • Under general supervision, develop pricing factors (age/gender, benefit, utilization, area, etc.) used by group Underwriting department in the Step Wise tool.
  • Under general supervision, analyze benefit changes, prepare competitive analysis and summarize results
  • Under general supervision, develop sensitivity testing analysis and summarize results to management
  • Under general supervision, complete financial forecast scenario modeling to evaluate and ensure profitable business segments
  • Display initiative in research beyond the specific assignment
  • Meaningfully contribute to the area’s workload, considering volume and complexity.

LEAD ACTUARIAL ANALYST I - II / Lead Associate actuary i - ii

  • Manage workload with minimal supervisory instructions, limited project management assistance, and limited review of results, beyond pre-release peer review.
  • Provide support to business partners (Underwriting and Product development) with limited supervision
  • Communicate (both verbally and in writing) and interprets results, recommendations and abstract concepts to internal and external customers.  Anticipate and addresses possible customer questions and concerns.
  • Prepare, submit and or present recommendations to the Actuarial department’s management team on pricing analysis.
  • Train and mentor other analysts and provide peer review

SENIOR ACTUARIAL ANALYST I - IV / SENIOR ASSOCIATE ACTUARY I - V

  • Interpret emerging financial results versus forecasts. Along with research, create analyses and recommendations that will allow BCBSAZ to meet its goals
  • Plan and lead complex projects from inception to completion. Includes working independently on creating timelines, working with other areas to define deliverables, monitoring progress, implementing the project and resolving/monitoring post-implementation issues.
  • Develop financial modeling and reporting for budgetary, strategic planning, and rating purposes, present results to departmental and Executive management.

ALL LEVELS

·       Each progressive level includes the ability to perform the essential functions of any lower levels and mentor employees in those levels.

·       The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

·       Perform all other duties as assigned.

REQUIRED COMPETENCIES

Required Job Skills

  • Advanced skill in mathematics and statistics

Required Professional Competencies

  • Broad understanding of health insurance terms and concepts; knowledge of benefit design and rating techniques
  • Analytical knowledge necessary to generate reports, actuarial analyses, and mathematical models based on available data and then make sound decisions based on reported data
  • Ability to solve problems independently and draw accurate conclusions from limited data using basic mathematical modeling and actuarial techniques.
  • Ability to deal with ambiguity and make recommendations with less than complete or conflicting information while maintaining appropriate time management.
  • Ability to maintain confidentiality and privacy
  • Ability to communicate effectively, both orally and in writing, to all levels in all departments. 
  • Ability to summarize technical information to a non-technical audience.
  • Ability to build and maintain productive working relationships with others. 

Required Leadership Experience and Competencies

  • N/A

PREFERRED COMPETENCIES

Preferred Job Skills (Applies to grades 28 and above)

  • Advanced proficiency in spreadsheet, word processing and presentation software
  • Intermediate proficiency with data warehouses and query tools / design

Preferred Professional Competencies (Applies to grades 29 and above)

  • Project management skill needed to create timelines, track deliverables and progress, resolve issues, and communicate project  status

Preferred Leadership Experience and Competencies

  • N/A

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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