Sr Actuarial Analyst II (Hybrid)

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.

Detroit, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="" 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="" 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="" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions.

keywords: position summary,analysis,quality assurance,organization,degree,experience,skills


Competitive Total Compensation Package

Overview: Responsible for the initiation, organization and analysis of non-routine actuarial research used for analysis including but not limited to valuations, financial reporting and forecasting, trend analytics, and pricing. This position is specific to the Provider Contracting department.
Responsibilities: <ul> <li>Utilize advanced actuarial concepts to perform complex analysis, conduct research and make recommendations to leadership.</li> <li>Ensure completeness, accuracy and appropriateness of all insurance data used in the production of outputs; recommend improvements to data as needed.</li> <li>Independently recommend specific course of action; consider internal, external and customer impacts. Independently communicate to stakeholders.</li> <li>Define scope of major projects and coordinate completion.</li> <li>Assess and implement efficiency enhancing processes where available.</li> <li>Respond to requests from internal departments; prioritize and review work of peers for actuarial soundness.</li> <li>Drive key department processes. May provide technical guidance to and coordinate work less experience team members.</li> <li>Remain current on actuarial techniques, seek development and improvement opportunities and understand corporate/cross-functional objectives and cultural beliefs.</li> </ul>
Requirements: <ul> <li>Bachelor's degree in Actuarial Science or related area.</li> <li>Four (4) years related actuarial experience. Preference to have at least one year of BCN/BCBSM actuarial experience or comparable experience at another company.</li> <li>Earned at least four (4) course credits toward the attainment of the FSA designation, and is a member, in good standing, of the Actuarial Development Program.</li> <li>Knowledge of actuarial methods and practices.</li> <li>Strong analytical, verbal and written communication skills.</li> <li>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> <p>Additional departmental duties:</p> <ul> <li>Set capitation funding and prospective risk targets.</li> <li>Monitor and project performance and value of current provider risk sharing programs and model future risk sharing arrangements.&nbsp;</li> <li>Strong analytical focus and efficient model development with highly detailed provider-level data.&nbsp;</li> </ul> <p><em>All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.</em></p>