SUMMARY: This position is responsible for managing the Corporate
Actuarial functions within the Corporate Risk Department, for segments
of the business requiring expertise in Medicare Advantage actuarial
services, markets and products. Manage and develop resources in the unit
including department workload and priorities while maintaining efficient
processes. The position is responsible for the development and
management of pricing tools, analysis, and management reporting. This
includes overall pricing and ensuring that the pricing strategies
actuarially sound and aligned with the strategic goals and incentives.
Facilitates forecast development by providing analysis, peer review and
promoting alignment around communication of key trends, risks, and
opportunities. This position is responsible for determining appropriate
types of analysis, then designing and preparing exhibits and other
business analyses requiring a technical solution for executive
leadership. Based on results, effectively communicates appropriate
recommendations to internal and external clients. Undertake special
projects and ad hoc problem-solving. It is also acting as an actuarial
liaison to the parent (BCBSM), business segments and external partners
and plays the role of a consulting actuary linking technical work to
practical insights. RESPONSIBILITIES/TASKS: * Analyzes data and present
analysis in a format appropriate for actuarial and other financial
analysis linking technical work to practical insights. * Communicate,
make recommendations, and present data to leadership and committees,
including senior executives. * Prepare commentary for senior executive
management regarding segment profitability, competitive analysis,
pricing trends, initiatives, and decisions, and provides strategic
recommendations. * Assist business segments with pricing of insurance
and non-insurance products, develops prospective profitability
assessments, and communicates pricing decisions to senior executive
leadership and additional audiences as requested. * Provides analytical
support to customer negotiations, initial plan projections, and
implementation of pricing terms for EM solutions businesses. * Supports
forecast development by completing analysis, providing peer review,
suggesting or performing sensitivity testing, and promoting alignment
around the communication of key results. * Development and
communication of potential volatility and impact to segments and
financial metrics from risks facing the business. * Support development
and maintenance of a stochastic economic capital model and capital
allocation process to support enterprise financial performance. *
Support development and maintenance of risk adjusted performance
metrics. * Analyze complex risk, and present analysis in a clear and
concise format for communication to the appropriate parties including
senior executive leadership. * Assist in developing appropriate
incentive structures to drive behavior towards strategic goals. *
Analyzes and makes recommendations around reinsurance structures and
other options for capital relief. * Effectively translate trends, risks
and opportunities identified between EM, BCBSM and consultants * Works
with various business units to help create and drive strategic plans
with analytical support and metrics. * Complete or support annual bid
process. * Complete reserve analysis * Communicates analysis to
management and various committees as requested. * Monitors industry
results and trends and Emerging Markets relative performance to the
industry. * Creates documentation and establishes procedures for
internal department processes. * Represents Corporate Risk on corporate
projects as needed. * Responsible for managing and coordinating
day-to-day office operations and workflow of the Corporate Actuarial
units. * Provide guidance, training and leadership to employees and
mentor other actuarial analysts nd teammates. * Assigned advanced
special projects as needed and ad hoc problem