Description

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and wellbeing of the people and communities we serve.

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

Job Description: We are seeking a dedicated Actuary to join our Actuarial Services team, focusing on Health Value Optimization. This role involves critical analysis and support of vendor contracts, ensuring these align with our strategic goals in health value optimization. The successful candidate will play a key role in influencing how our contracts contribute to the overall value and efficiency of healthcare delivery.

Key Responsibilities:

• Analyze and evaluate vendor contracts with a focus on Health Value Optimization, financial implications, and risk assessment.
• Apply advanced actuarial techniques to model and forecast the impact of vendor contracts on healthcare costs and quality.
• Collaborate with Provider Contracting, Vendor Management, and Clinical Care Innovation teams to ensure contracts support valuebased care objectives.
• Lead the assessment of vendor proposals from a health value optimization perspective, ensuring alignment with company's strategic goals.
• Contribute to the development and refinement of valuebased and payforperformance models in vendor contracts.
• Provide actuarial insight in negotiations to maximize health value and costeffectiveness of vendor agreements.
• Ensure compliance with relevant regulations and standards, particularly those related to valuebased healthcare.
• Communicate complex actuarial analyses and strategies to internal and external stakeholders.

Qualifications:

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field.
• Fellow or Associate of the Society of Actuaries (SOA) or similar professional body.
• Demonstrated experience in health insurance or related field, with a focus on health value optimization.
• Strong understanding of healthcare economics, valuebased care, and vendor contract structures.
• Proficient in actuarial software and tools (e.g., SAS, SQL, R) and their application in health value analysis.
• Excellent analytical, negotiation, and communication skills, with the ability to articulate the value proposition of complex actuarial strategies.

At Independence Blue Cross, all qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.