All roles

Open role

Actuarial Associate - Medicare Risk Adjustment (Remote)

Remote · Ireland Full-time

Resp & Qualifications PURPOSE: This position oversees and directs the work of analysts in a supervisory capacity. This position is responsible for implementing departmental strategy and policies in order to meet team goals, as well as making recommendations to Actuarial management where appropriate. ESSENTIAL FUNCTIONS:

  • Responsible for coordinating the activities analysts ensuring accurate and timely release of requested analyses and reports. Responsible for providing training, development, documenting performance issues, if needed, and monitoring and enforcing adherence to Company policies. The Supervisor sets objectives, writes and deliveries performance feedback and appraisals, promotions, salary increases, hiring and disciplinary communications.
  • Responsible for coordinating the development and extensive analytical review of various actuarial analyses such as IBNR, trend, rating actions, and valuation work in support of departmental objectives. This includes supporting the junior team members, working with other areas within the Company, producing presentations for senior management and communicating status of deliverables to the department management.
  • Oversee calculations, serve as Subject Matter Expert (SME), direct the workflow and ensure that sound actuarial and financial methods are used by Analysts.

SUPERVISORY RESPONSIBILITY: This position manages people. QUALIFICATIONS: Education Level: Bachelor's Degree in Actuarial Science, Finance, Mathematics or related 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:

  • Associate of the Society of Actuaries (ASA)

Experience: 3 years health actuarial experience with demonstrated leadership. Knowledge, Skills and Abilities (KSAs)

  • Ability to organize to task completion, plan and prioritize work.
  • Must demonstrate flexibility, innovation and problem-solving skills and resourcefulness.
  • Ability to express technical and financial analysis in a clear, concise manner on both written and oral form.
  • Must possess negotiating and consulting skills.
  • Possesses highly developed analytical skills and excellent interpersonal and communication skills, both written and oral.
  • Effectively convey actuarial and/or underwriting issues to a diverse audience.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able 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: $102,384 - $211,167 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 decisions 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 (all benefits/incentives are subject to eligibility requirements). Department Actuarial Member Analytics and Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform 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

More open positions

Virtual PRN Nurse Practitioner (Contract-to-Perm)

Work from home Full-time role

Solana Blockchain Developer | High-Frequency Trading Bot

Work from home Full-time role

Remote Social Worker - MI

Work from home Full-time role

Remote Non-Credentialed Veterinary Support Staff

Work from home Full-time role

Background Investigator: Independent Contractor/1099 (Experienced)

Work from home Full-time role

Customer Service Representative

Work from home Full-time role

ServiceTitan Manager

Work from home Full-time role

Software Architect

Work from home Full-time role

Senior Remote Customer Service Specialist – High‑Volume Call Center Operations, Healthcare Support, End‑to‑End Order Lifecycle Management, Continuous Improvement Champion, and Cross‑Functional Collaboration Leader at brighthush

Work from home Full-time role

Clean Energy Co-Founder / CPO

Work from home Full-time role

Vertriebsmitarbeiter (m/w/d) mit Deutsch- und Türkischkenntnissen

Work from home Full-time role

Regional Field Sales Manager-Retail-REMOTE

Work from home Full-time role

Remote Business Analyst

Work from home Full-time role

Planning Transformation & Deployment Manager (56184)

Work from home Full-time role

Licensed Life Insurance Agent — Remote

Work from home Full-time role

Senior Customer Success Associate

Work from home Full-time role

Senior HRIS Specialist

Work from home Full-time role

Registered Nurse Case Manager

Work from home Full-time role

Partner Support Specialist

Work from home Full-time role

Senior ERP Project Manager

Work from home Full-time role

Workday Recruiting, Learning, and Talent Optimization Senior Consultant

Work from home Full-time role