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Actuary - VBC/Provider Contracting (Remote)

Remote, USA Full-time Posted 2026-07-02

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 Units. 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 strategy reputed company the Actuarial department.
  • Responsible for representing the Actuarial department to internal and external 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 addition to the required work experience. Licenses/Certifications Upon Hire Required:

  • Fellow of the Society of Actuaries (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 variety 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 well 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 internal and external customers, reputed company set expectations for service excellence. Must be reputed company to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $171,520 - $318,384 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range 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 hired at the top of the range, as compensation reputed company depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition 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 the Company to provide equal employment opportunities to reputed company reputed company applicants without regard 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 lifted. 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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