[Remote] Actuarial Director - Medicare

Note: The job is a remote job and is open to candidates in USA. Blue Cross and Blue Shield of Minnesota is seeking a strategic actuarial leader to oversee its Medicare Advantage team. This role is accountable for the full Medicare Advantage and PDP product lifecycles, providing leadership and guidance to the actuarial team while partnering closely with cross-functional areas.ResponsibilitiesServe as the actuarial line of business owner for specified market segment products (Medicare Part C and Part D)This individual will manage a team responsible for all actuarial activities including budgeting, forecasting, trend analysis and revenue/cost driver identification and evaluationCommunicate with executive leadership in an effective and straightforward manner, serving as a thought leader in the management of financial risk and a role model of strategic, proactive communication and collaboration across teamsPartner with underwriting, product, marketing and sales by making recommendations for amending or developing products, product pricing and processes to maintain product viability and financial soundness while delivering strategic growth and managing risk. Serve as an advocate for innovationOversee Managers who serve as the primary contacts with State and Federal regulators for rate and annual filings ensuring timeliness, acceptance by regulators and appropriate loss ratios for regulatory and corporate requirements for solvency, profitability and complianceStay abreast of regulatory changes, ensuring all responsibilities are addressed, as well as providing thought leadership on how best to adjust strategy in light of regulatory changesAdeptly navigate communication of complex actuarial and/or accounting concepts to non-technical audiences, ensuring enterprise leadership is informed of current and forecasted business results and underlying risksMaintain a strong understanding of how actuarial judgment applied in valuation processes drives the enterprise’s narrative of results and actively balance the need for conservatism with timely messaging of departures from expected resultsProvide insightful research, analysis and interpretation of actuarial and statistical data, providing strategic insights to drive decision making within the department, with other teams and Executive business leaders across the enterpriseDevelop new tools, based on predictive modeling and machine learning, to refine and modernize current actuarial models and methods. Lead team in transformation into cloud-based data configurationLeads comprehensive performance evaluations and actively manages employees by fostering skill and career development, administering policies, and providing targeted coaching on both performance and professional behavior. Oversee hiring and onboarding processes to build a high-performing team. Champions thorough documentation of procedures, peer review and best practices to ensure process consistency and improvement. Builds a positive employee relations environment and implements effective cost control measures to support organizational goalsPersonally model BCBSMN’s enterprise values and serve as a role model of strong people leadership skills both within and outside of the Actuarial departmentSkills10+ years of experience in the areas of actuarial, finance or related field, including experience in managed care. All relevant experience including work, education, transferable skills, and military experience will be considered5+ years of staff, team lead and/or project lead experience2+ years in-depth experience with market segment products (Medicare Part C and Part D)FSA or ASA designationMAAA designationExperience working with cross-functional teams and juggling multiple client priorities in a fast-paced environmentDemonstrated delegation and management skillsDemonstrated ability to influence executive level leaders with in-depth data and analysisOutstanding oral and written communication skills, including ability to story tell and articulate financial analysis to non-financial colleaguesHigh school diploma (or equivalency) and legal authorization to work in the U.SBachelor's or Master's /MBA degree in mathematics, statistics, actuarial science, economics, finance, accounting or related fieldSignificant Healthcare industry or health insurance industry experienceProven experience in both actuarial strategy and hands‑on modeling, with deep expertise in Medicare Part C and Part D; including bid development, forecasting, and the ability to translate complex model outputs into clear strategic recommendationsDemonstrated ability to stand up regulatory changes, lead forecasting and model updates, and manage a high‑performing actuarial teamExperience implementing regulatory changes and assessing related financial, operational, and strategic impactsAdvanced actuarial modeling and forecasting expertise, including familiarity with modern or cloud‑based modeling tools and environmentsBenefitsMedical, dental, and vision insuranceLife insurance401kPaid Time Off (PTO)Volunteer Paid Time Off (VPTO)HybridOur hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. The rest of the week you are empowered to work remote.Company OverviewAbout Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives. It was founded in 1933, and is headquartered in Eagan, Minnesota, USA, with a workforce of 1001-5000 employees. Its website is https://www.bluecrossmn.com.