Dir & Actuary (Hybrid) at Independence Blue Cross LLC in Philadelphia, Pennsylvania

Job Description:

Bring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care.  Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team.  If this describes you, we want to speak with you!

Job Summary:

Responsible for the oversight of all Actuarial support relating to certain claim, revenue, and regulatory estimates, accruals, and projections.  This role actively works with most other areas within Finance & Actuarial as well various Operational areas to develop, understand and communicate findings with respect to operational and financial activity.  This role is expected to work independently with regulators, auditors, and all levels of management. 

Duties

• Responsible for Actuarial Reserving activity inclusive of the development and monitoring of various liabilities and other accruals it on all applicable lines of business.  Items of responsibility may include claim, revenue, and regulatory liabilities.


• Stays current on regulatory requirements and translates required changes quickly and thoroughly into processes to produce appropriate estimates and reserves.


• Responsible for the accuracy of all entries & reports produced, with validation via a combination of automated checks & controls, and manual reasonability reviews.


• Presents key analysis to senior management & business partners.


• Represents Actuarial during meetings with all levels of management from other functional areas.


• Manages internal and external audit engagements to completion.


• Supports other corporate initiatives including new products and system changes as required.


• Optimizes available resources to adapt to changing priorities.


• Proactively incorporates technical best practices, external metrics, internal and external considerations, and competitive information into their work. 

• Oversees a combination of 3-4 Managers and Individual Contributors:  communicates and balances key priorities, delegates work appropriately and provides performance feedback and coaching to this team. Supports all levels of associates in actuarial and professional development, including actuarial exams.

• Pushes a team culture that accommodates key financial close, federal/state filing deadlines, and other corporate priorities while still allowing a reasonable work/life balance.

• Fellowship in the Society of Actuaries


• Bachelor’s degree in Mathematics, Statistic, Economics, or Actuarial Science


• Prior supervisory experience required


• 10+ years of healthcare industry experience preferred


• 6+ years of responsibility in reserving or pricing healthcare products preferred


• Independence has implemented a “Hybrid of Choice” model which provides our associates with the flexibility to choose whether to work remotely, work in the office every day, or work in the office on certain days at their discretion. However, management may require our associates to work from Independence’s physical office locations on certain occasions. This role is designated as a role that fits into the “Hybrid of Choice” model. While associates may work remotely, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.