Wellmark, Inc. is hiring an Actuary (Open to hiring at Sr. level)

Wellmark, Inc. is hiring an Actuary, open to hiring at a Senior level, to support business strategies related to financial risk for assigned market segments. You will play a key role in evaluating the financial risk and competitiveness of our health plans in a dynamic market.

What You'll Do

• Support business strategies related to financial risk for assigned market segments.
• Evaluate financial risk and competitiveness associated with provider networks, premium rate setting, risk adjustment methodologies, exchanges (public and private), new technology, legislative and regulatory changes, utilization management programs, and other market forces.
• Determine forecasts and trends as appropriate.
• Build and maintain relationships with key customers and strategic partners.

What We're Looking For

• Bachelor's Degree in Actuarial Science or related field, or direct and applicable work experience.
• Associate of the Society of Actuaries (ASA).
• Minimum 4 years of experience in an actuarial role within health insurance.
• Proficient with data analysis using Excel, SAS, or SQL.
• Advanced leading subject matter expert in two or more of pricing, reserving, or predictive modeling or other technical actuarial area: catastrophe model, economic capital model or assumed reinsurance with excellent knowledge of statistics and probability.
• Strong individual contributor. Ability to work independently, to organize tasks, and to follow-through with staff and business leaders on complex, cross-functional projects.
• Proven ability to organize and analyze data, develop predictive models to drive business decisions, interpret the model results, turn data into actionable insights, and effectively communicate model results.
• Excellent verbal and written communication and presentation skills, with proven ability to communicate effectively to technical and non-technical audiences.
• Strong consultation and interpersonal skills, with the ability to build relationships and collaborate across the business to produce results.
• Ability to independently manage projects and make decisions in a deadline driven, fast-paced environment.
• Proficiency with Microsoft 365 including advanced proficiency with Excel, PowerPoint and Word. Ability to adapt to new systems quickly and produce ad hoc reports.

Nice to Have

• Experience working at a Pharmacy Benefit Management (PBM) organization or at a health plan managing PBM performance around pricing and financial guarantees.
• Experience evaluating PBM contracts and pharmacy financial guarantees including discounts and rebates.
• Experience working at or with an employee benefits consultant with emphasis on accessing pharmacy benefit claims experience and modeling expected cash flow.
• Proven ability to understand, explain, and assess regulatory and financial risk related to PBM reform and regulatory updates.
• Ability to facilitate presentations to large audiences and communicate recommendations persuasively to key decision makers.
• Experience with PowerBI, R, and Python is preferred.

Technical Stack

• Excel, SAS, SQL
• Microsoft 365
• PowerBI, R, Python

Team & Environment

You will have the ability to coach and mentor other actuarial staff.

Work Mode

This position offers a hybrid work mode based out of Central Iowa.

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.