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 Commercial & Dental Pricing Actuarial Leader

Details
Country: USA
Location: Massachusetts-Boston Boston, MA 02215
Total applied: 8
Commercial & Dental Pricing Actuarial Leader

Today's healthcare industry -- dynamic and changing at a fast pace. Recruiting talented people can mean the difference between success or failure. At Blue Cross and Blue Shield of Massachusetts, our record of achievement represents a history of hiring the best people we can find, and then challenging them to excel. It's the kind of environment that enables us to give our best to the consumers we serve, and at the same time, work to the potential of those who work for us. Blue Cross Blue Shield of Massachusetts is an Equal Opportunity Employment/Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, or any other characteristics protected by law.Position SummaryThe actuary in this role is responsible for the development of rates for BCBSMA commercial products. This leader is also responsible for pulling together all of the inputs into the rating process and ensuring rate adequacy and accuracy. In addition, he/she serves as a key partner with Underwriting and Sales management. Actively participates in product development discussions and provide actuarial expertise to support strategic decisions including but not limited to Health Care Reform, small group. Key Accountabilities Lead the process for coordinating rating inputs, developing rates, complete rate filings and compiling exhibits for commercial and dental products. Manage actuarial projects relating to product and rating issues, coordinating with several different disciplines and staff. Lead and direct the analysis of administrative expenses and overall premium retention. Manage and develop staff of 3 direct reports Participate in cross-functional workgroups representing the Actuarial and Analytical Department on special projects. Provide effective technical and non-technical support to internal and external customers and management in meeting corporate goals and making strategic decisions. Provide actuarial expertise to various departments such as Product Management, UW, and Sales on various initiatives. Support efforts to continually improve data capabilities and quality of department analysis and reporting Qualifications Ability to develop staff in consideration of short and long term needs of department and individuals. Ability to lead and manage the works of others Solid business understanding and sufficient knowledge to develop big picture Ability to represent the Actuarial Department on cross functional workgroups and provide broad expertise Adaptable to new and varied responsibilities Team oriented/collaborative Takes initiative, motivated Creative problem solver - able to assess problems, develop creative solutions and see solutions to completion. Results oriented Potential to be a strategic thinker and provide broader department leadership Negotiation skills Solid understanding of health insurance, managed care, accounting principles, the competitive market, and the legislative environment Project management skills to direct a variety of projects under specific time restraints Strong written and oral communication skills in a variety of settings Strong analytical skills and technical expertise. Fellow of Society of Actuaries (FSA), Member of American Academy of Actuaries (MAAA) (not required) with seven or more years of relevant experience Managed care pricing and product development work experience required Bachelor's Degree Position Information Location:  Boston, MA 02215 Job Category:  Accounting/Finance/Insurance Reference Code:  bcbs-00001571 Our commitment to building a diverse workplace is without question. We are an Equal Opportunity Employer.

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