Medicare Advantage-Actuary Manager

<strong>With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.</strong>

Detroit, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="https://www.bcbsm.com/" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="http://www.bcbsm.com/index/about-us/our-company.html" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="https://s3.amazonaws.com/data.vizirecruiter.com/Images/BCBSMCareers+-+Quick+Reference+Guide.pdf" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="https://ejko.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_3/requisitions" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

keywords: job description,management,goals,coordinate,communication,education & experience,skills

Mid-level Manager

Competitive Total Compensation Package

Overview: <br />Responsible to plan, organize, direct, control and lead assigned business unit, operating within broad objectives to ensure we are supporting the Enterprise with strategic support and analytics to optimize our competitive position in the market.
Responsibilities: <br /> <ul> <li>Manage Medicare Advantage Individual bids. Responsibilities include but are not limited to: gathering and determining reasonability of assumptions; supporting&nbsp;implementation of new plans, rates, and benefit changes; estimating financial outcomes; supporting submission and filing documentation; communicating results.&nbsp;</li> <li>Conduct research&nbsp;and make recommendations using advanced principles in order to resolve a variety of problems in the absence of guidelines or precedents.</li> <li>Manage activities of a department including but not limited to: performance of major actuarial functions, planning, problem solving, staff development, communication and review of actuarial policies and internal procedures; coordinate across departments and divisions.</li> <li>Present key objectives to executive leadership as needed and represent organization on industry task forces and workgroups.</li> <li>Proactively seek out opportunities to innovate and develop new processes, procedures, and solutions considering corporate impact and consequences of recommendations.</li> <li>Plan, lead, and deliver projects utilizing a comprehensive understanding of complex actuarial principles and practices.</li> <li>Communicate utilizing collaboration and influence with key business partners; present findings and recommendations that maximize knowledge transfer and segment growth.</li> <li>Remain current on&nbsp;regulations,&nbsp;actuarial techniques, seek development and improvement opportunities, and understand corporate/ cross-functional objectives and cultural beliefs.</li> </ul>
Requirements: <br /> <ul> <li>Bachelor's degree in Actuarial Science or related area.</li> <li>Six (6) years of actuarial experience.</li> <li>ASA or FSA designation preferred.</li> <li>Knowledge of all actuarial principles and practices; knowledge of BCBSM internal functions.</li> <li>Extensive knowledge of health insurance products&nbsp;(specifically Medicare Advantage), operations and existing regulations and their legal, political, economic, and environmental impact.</li> <li>Medicare Advantage Bid experience</li> <li>Strong analytical, verbal, and written communication skills; ability to apply appropriate planning and prioritization techniques.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul>