{"id":4281215,"url":"https://alion.io/job/excellus-bluecross-blueshield-actuarial-analyst-iv","title":"Actuarial Analyst IV","company":{"id":1914672,"name":"Excellus BlueCross BlueShield","domain":"excellusbcbs.com","url":"https://alion.io/company/excellusbcbs","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":80,"open_postings":10,"ghost_share":0,"stale_share":0.8,"repost_share":0,"time_to_fill_p50_days":26,"computed_at":"2026-11-14T05:58:10Z"}},"role":"Finance","role_family":"Finance","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Rochester, United States","Buffalo, United States","Albany, United States","United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":87766,"max":157978,"currency":"USD","period":"year","gross":null,"usd_annual":157978},"salary_estimate":null,"experience_years_min":6,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false},{"name":"SAS","optional":false},{"name":"SQL","optional":false}],"status":"live","first_seen_at":"2026-11-13T20:33:26Z","employer_posted_date":"2026-11-13","last_verified_at":"2026-11-14T02:59:24Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"Job Description:\nSummary:\nThe Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role is amongst the group that is responsible for providing a range of experience working to establishing rates, rating structures and systems and reserves. The Actuarial Analyst has accountability to providing in depth analysis on the overall risk management and financial solvency for the health plan operation.\nEssential Accountabilities:\nLevel I\nEstablishes insurance rates, rating structures, and rating systems for groups and categories of business.\nMaintains reserve programs, pricing files, risk score models, benefit relativity tables and appropriate documentation for work.\nDevelops financial projections, risk score analysis, unpaid claim liability estimates and conducts actuarial analysis for well-defined projects as directed.\nCompiles and analyzes data to draw conclusions and make recommendations.\nProposes and assists in the development of process improvements utilizing system and software applications to full potential and participates in activities and projects as directed.\nContinued professional growth in Actuarial field as evidenced by participation in the Actuarial Study Program, attainment of credentials, and maintaining applicable annual continuing education requirements.\nConsistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading with the Lifetime Way values and beliefs.\nConsistently adheres to the Actuarial Standards of Practice and the Code of Professional Conduct as promulgated by the Actuarial Standards Board\nMaintains high regard for member privacy in accordance with the corporate privacy policies and procedures.\nRegular and reliable attendance is expected and required.\nPerforms other functions as assigned by management.\nLevel II (in addition to Level I Accountabilities)\nConducts analyses for and communicates with other departments on various initiatives.\nAssists the development of actuarial analyses concerning complex issues & trends, coordinates with staff.\nReconciles Data Warehouse data with corporate financials or encounter submissions and identifies and develops corrective action with regards to Data Warehouse integrity issues.\nInitiates and leads efforts to continually improve data capabilities and quality of department analysis and reporting.\nProactively and independently ideates process improvements, researches, and recommends changes to actuarial processes.\nDraws together facts and input from a variety of sources.\nLevel III (in addition to Level II Accountabilities)\nReviews and ensures pricings are consistent with established profitability targets for business segments priced in Actuarial.\nDevelops actuarial analyses concerning complex issues and trends, coordinating with several different disciplines and staff.\nProvides effective technical advice and support to assist management in meeting corporate goals and identifying strategy. Involves other departmental areas.\nLeads departmental projects and initiatives with other actuarial staff.\nPrepares actuarial statements of opinion.\nLevel IV (in addition to Level III Accountabilities)\nRepresents the Actuarial Department on special projects involving other areas of the company or external constituents.\nPerforms data exploration using a combination of statistical programming languages and deploys advanced statistical techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies.\nLeads organizational projects with internal and external partners.\nInterprets how regulatory changes affect Health Plan and develops impact analyses, processes and guidelines.\nCollaborates with senior leadership in meeting corporate goals and strategic planning and decision making.\nRecommends departmental annual performance goals.\nMinimum Qualifications:\nNOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.\nAll Levels\nBachelor’s Degree in a related field with at least one (1) Society of Actuary (SOA) exam passed required. \nPrior actuarial or related insurance industry experience preferred.\nStrong analytical skills, verbal and written communication skills.\nStrong interpersonal skills with demonstrated ability and willingness to collaborate with other team members.\nAbility to prioritize, multitask, and maintain multiple simultaneous projects.\nIntermediate technical skills including proficiency in Microsoft Office Suite\nStrong programming skills in SQL, SAS, VBA, or similar programming language is preferred.\nLevel II (in addition to Level I Qualifications)\nTwo (2) years of actuarial or related experience with at least three (3) passed SOA exams.\nAn understanding of health insurance & health insurance products, managed care, accounting principles, the competitive market, the legislative environment, and any regulatory issue affecting the Health Plan.\nSelf-starter with the ability to work independently.\nIntermediate proficient programming skills in SQL, SAS, VBA, or similar programming language.\nAbility to assess and implement efficiency enhancing processes.\nHigh level understanding of non-Actuarial functions such as Rating & Underwriting, Finance, Provider Contracting, Analytics & Data Technology, Population Health Engagement, Marketing & Sales, etc., and how they impact Health Plan operations and financials.\nLevel III (in addition to Level II Qualifications)\nFour (4) years of actuarial or related experience with at least four (4) passed SOA exams.\nAbility to perform complex modeling independently.\nUnderstanding of financial and economic trends, financial regulations and complex financial modules.\nStrong ability to recognize and automate repetitive tasks.\nAbility to communicate analytical findings at the appropriate level of detail for receiving audience.\nAbility to write and communicate statements of actuarial opinion.\nLevel IV (in addition to Level III Qualifications)\nSix (6) years of actuarial or related experience with at least six (6) passed SOA exams.\nAdvanced understanding of non-Actuarial functions such as Rating, Underwriting, Accounting, Provider Contracting, Network Management, Product Development, Medical Management, etc., and how they impact Health Plan operations and financials.\nAdvanced ability to independently communicate analytical findings at the appropriate level of detail for receiving audience.\nAbility to independently write, communicate, and present statements of actuarial opinion to both actuarial and non-actuarial audiences.\nPhysical Requirements:\nAbility to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.\nAbility to travel across the Health Plan service region for meetings and/or trainings as needed.\n************\nIn support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.\nEqual Opportunity Employer\n Compensation Range(s):\nLevel IV: Grade E7: Minimum $87,766 - Maximum $157,978\nThe salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.\nPlease note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. 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