Our Ability Jobs

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include:

Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute

Annual incentive bonus plan based on company achievement of goals

Time away from work including paid holidays, paid time off and volunteer time off

Professional development courses, mentorship opportunities, and tuition reimbursement program

Paid parental leave and adoption leave with adoption financial assistance

Employee discount program

Job Description Summary:

Under supervision, provides background data support, analysis and recommendations for the rating, reserving and financial reporting policies of BCBSKC and its subsidiaries and provides systems and programming support across the Actuarial Services

Job Description

Analyzes historical medical expense trends and forecasts prospective medical expense trends used for actuarial rating and forecasting.

Monitors and reports financial results and trends.

Determines the ROI for clinical programs and monitors the actual to expected net savings after implementation.

Quantifies the value of incremental cost of care savings initiatives.

Reviews shared savings payouts and accruals.

Provides support analysis for Fee For Service arrangements, impact from contract changes, and tracking historical realized versus forward looking unit cost trend.

Evaluates and models alternative payment models (e.g. per diem vs DRG, bundled payments, case rates).

Studies for and passes actuarial examinations

Minimum Qualifications

Bachelor’s degree in mathematics, statistics, or other relevant academic discipline; or any combination of education and experience providing the types and levels of knowledge, skills, and abilities required by the job.

Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or government regulations.

Ability to write reports, business correspondence and procedure manuals. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations and permutations. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory and factor analysis.

Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.

Ability to deal with a nonverbal symbolism (formulas, scientific equations, graphs) in its most difficult phase.

Ability to deal with a variety of abstract and concrete variables.

Intermediate skill using a computer keyboard.

Preferred Qualifications

Intermediate knowledge of and skill using Microsoft Windows and Microsoft Office, including Word, Excel, Access, and PowerPoint preferred.

Beginning level knowledge of PC-based database systems such as SQL, SAS, Alteryx, Crystal, or Python, as well as report tools such as Power BI

Completion of at least one actuarial exam

Blue Cross and Blue Shield of Kansas City is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.

At Blue Cross and Blue Shield of Kansas City (Blue KC), we have long put our members first by developing products and services to meet their needs. From our founding in 1938 to more than 80 years of experience in innovative, patient-centered healthcare coverage, Blue KC continues to keep our members at the center of everything we do. As a market leader, we continue to embrace new ideas to make healthcare more affordable and to improve the customer experience. Come join us!

Blue Cross and Blue Shield of Kansas City will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully utilize electronic and online job application systems. For assistance, please send an email to Recruitingteam@bluekc.com .

EOE/M/F/Vets/Disability

Affirmative Action Employer

Equal Opportunity Employer

Know Your Rights: Workplace Discrimination is Illegal (https://www.dol.gov/sites/dolgov/files/OFCCP/regs/compliance/posters/pdf/22-088_EEOC_KnowYourRights.pdf)

E-Verify Participation

Equal Employment Opportunity/Nondiscrimination/Affirmative Action Policies (https://bluekcmemberportal.azureedge.net/pdf/2024/EEO-Policy-2024.pdf)

IER Right to Work

FMLA (https://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf)

Pay Transparency

Employee Polygraph Protection Act (https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf)