Live opening · Posted 2 days ago

Actuarial Analyst III, Pricing and Rate Filings - Remote AZ

Prosano Health Solutions · AZ Blue Phoenix, AZ 85021
Workday
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At a glance

The key details from the original listing.

Posted 2 days ago
CompanyProsano Health Solutions
LocationAZ Blue Phoenix, AZ 85021
SourceWorkday
ListedPosted 2 days ago

About the role

Description supplied by the original job listing.

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.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
Onsite: daily onsite requirement based on the essential functions of the job
Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
PURPOSE OF THE JOB
Performs advanced analytics to facilitate fact-based decision-making regarding price development of products and various benefit options to ensure attainment of profit targets.
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, or relevant work experience
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
5 years of experience working for a healthcare organization / health insurer (Applies to All Levels)
5 years of experience in an actuarial field (Applies to All Levels)
Preferred Education
Bachelor’s Degree in business, mathematics, statistics, or related field of study (Applies to All Levels)
Preferred Licenses
N/A
Preferred Certifications
Associate, Society of Actuaries (ASA) (Applies to All Levels)
Member of the American Academy of Actuaries (MAAA) (Applies to All Levels)
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
ACTUARIAL ANALYST I-III / Associate Actuary I-III
Under general supervision, determine adequate and competitive premium levels for Individual, Commercial and Government products
Under general supervision, prepare and submit rate filings to Federal and State authorities
Under general supervision, analyze benefit changes, prepare competitive analysis and summarize results
Under general supervision, complete financial forecast scenario modeling to evaluate and ensure profitable business segments
Under general supervision, prepare impact analysis for benefit changes, develop pricing factors to ensure adequate premium coverage for each product line
Develop sensitivity testing analysis and summarize results to management
Display knowledge of Individual, Commercial and Government products, pricing, and forecasting
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 (general managers) in pricing, product and market analysis with minimal supervision
Display initiative in research beyond the specific assignment
Communicate (both verbally and in writing) and interprets results, recommendations and abstract concepts to internal and external customers. Anticipate and address possible customer questions and concerns.
Prepare, submit and or present recommendations to the Actuarial department’s management team on financial analysis.
Pursue expansion of current knowledge and skills.
Meaningfully contribute to the area’s workload, considering volume and complexity.
Train other analysts and provide peer review.
SENIOR ACTUARIAL ANALYST I-IV / SENIOR ASSOCIATE ACTUARY I-IV
Report to a manager who provides minimal supervisory instructions, limited project management, and minimal or limited review of results, beyond pre-release peer review.
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.
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.
Incorporate strategic planning in all areas of responsibility.
Train and mentor other analysts and provide peer review.
ALL LEVELS
Each progressive level includes the ability to perform the essential functions of any lower levels and train 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 (Applies to All Levels)
Advanced skill in mathematics and statistics
Required Job Skills (Applies to Grade Levels 28 and above)
Intermediate to advanced proficiency in spreadsheet, word processing and presentation software
Basic proficiency in data warehouse querying tools, and programming.
Required Professional Competencies (Applies to All Levels)
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 task progress, resolve issues, and communicate project status
Preferred Leadership Experience and Competencies
N/A
#LI-AB1
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.

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