Associate Director, Actuarial

Key Responsibilities

• Lead the quarterly and annual actuarial reserving process, including the calculation of reserves for Incurred But Not Reported (IBNR) and other statutory reserves.
• Develop and maintain actuarial models for financial forecasting, reserving, and risk adjustment.
• Establish methodologies to accurately estimate claim reserve liabilities for all product lines.
• Ensure the adequacy of reserves and contribute to the effective implementation of the company's risk management system.

Appointed Actuary Duties

• Serve as the company's Appointed Actuary and provide the annual Statement of Actuarial Opinion (SAO) for required regulatory filings.
• Ensure compliance with all relevant statutory and regulatory requirements, including the NAIC Valuation Manual and Actuarial Standards of Practice (ASOPs).
• Maintain direct accountability to state insurance departments for all actuarial opinions and rate filings.
• Prepare and submit the Financial Condition Report (FCR) to the regulatory authority.

Trend Analysis

• Collaborate with Medical Expense Analytics team to synthesize emerging trend, pricing, and forecasting concepts to establish trend assumptions for pricing and forecasting.
• Develop and monitor trend information for pricing and forecasting purposes, including recommendations for large group pricing trend.
• Present actuarial findings and recommendations clearly to both actuarial and non-actuarial audiences, including executive leadership and the Board.

Premium Analysis

• Oversee premium variance analysis for BCBSMA’s insured lines of business, articulating variance drivers for monthly financial reporting and forecasting purposes.
• Develop premium forecast for BCBSMA’s commercial insured lines of business.

Strategy and Leadership

• Serve as the principal actuarial advisor to executive leadership, providing strategic insight on projections and variance evaluation.
• Provide actuarial leadership for growth and strategic partnerships, including due diligence and financial impact modeling.
• Manage and mentor a team of actuaries, fostering a culture of accountability, collaboration, and innovation.
• Collaborate with finance, underwriting, sales, and other departments to support product design, pricing, and strategic initiatives.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field.
• Fellow of the Society of Actuaries (FSA) is required.
• Member of the American Academy of Actuaries (MAAAA) is required.
• Eligibility to serve as an Appointed Actuary under all applicable state and federal requirements.
• A minimum of 8 years of progressive actuarial experience in the health insurance industry, with at least 3 years in a leadership or supervisory role.
• Demonstrated expertise in Individual/ACA, Group Commercial, and Medicare lines of business, including pricing, reserving, risk adjustment, and regulatory compliance.
• Extensive knowledge of health insurance regulatory requirements, the Affordable Care Act (ACA), and statutory accounting principles.
• Proficiency in actuarial modeling software and data analysis tools (e.g., SQL, SAS, Python).
• Strong executive presence with polished and well-developed written and oral communication skills.
• Proven ability to lead complex, multi-stakeholder initiatives and manage teams effectively.
• Strategic thinker with the ability to translate complex actuarial concepts into actionable business insights.

Skills

• Proficiency in actuarial modeling software and data analysis tools (e.g., SQL, SAS, Python).
• Strong executive presence with polished and well-developed written and oral communication skills.
• Proven ability to lead complex, multi-stakeholder initiatives and manage teams effectively.
• Strategic thinker with the ability to translate complex actuarial concepts into actionable business insights.

Benefits

Comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Pay

$185,850.00 - $227,150.00

Schedule

Full time