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Blue Cross of IdahoBI

Actuary

Blue Cross of Idaho is a not-for-profit mutual insurance company providing health insurance and related services to the people of Idaho since 1945.

Blue Cross of Idaho

Employee count: 1001-5000

Salary: 107k-160k USD

United States only

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Blue Cross of Idaho is looking for an Actuary be a part of the Health Economics division! We are looking for a collaborative teammate that can provide analytical support in the pursuit of lowering healthcare costs. Partnering with the business area to provide business analytics services and develop insights and understand business performance based on data and statistical methods.

We are looking for an Actuary with:

Required Experience:

  • Five years health actuarial or analytics experience

Required Education:

  • Bachelor's Degree in Mathematics, Statistics, Computer Science, Economics, or related field

Required License/Certification:

  • Associate, Society of Actuaries (ASA)
  • Use actuarial expertise to lead modeling and financial analysis for value-based care (VBC) arrangements.
  • Design and evaluate VBC contract methodologies and translate results into clear internal and external reporting.
  • Perform and support monthly and year‑end contract‑level settlement calculations.
  • Partner with Accounting and Finance to explain financial drivers, performance trends, and variances.
  • Collaborate closely with Provider Network Management and Clinical teams to recommend contract or program adjustments to improve financial and quality outcomes.
  • Identify, investigate, and resolve data issues or anomalies, translating findings for both technical and non‑technical audiences.
  • Clearly communicate financial results and implications to non‑actuarial stakeholders.
  • Sign actuarial statements of opinion, including reserves and rate filings, as applicable.
  • Perform other duties and responsibilities as assigned

As of the date of this posting, a good faith estimate of the current pay range is $106,762 to $160,144. The position is eligible for an annual incentive bonus (variable depending on company and employee performance).

The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 107k-160k USD

Education

Bachelor degree

Experience

5 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Blue Cross of Idaho

Learn more about Blue Cross of Idaho and their company culture.

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At Blue Cross of Idaho, we are at the forefront of revolutionizing healthcare through pioneering technology and a steadfast commitment to industry advancement. Since our inception in 1945, our mission has been to connect Idahoans with high-quality, affordable healthcare. We are not just an insurance provider; we are a transformative force in the health sector, dedicated to building strong networks and delivering exceptional services with our members' needs at the core of our operations. Through groundbreaking initiatives, we are actively addressing the rising costs of healthcare and enhancing the customer experience with innovative tools and services. Our Healthcare Economics Department is a testament to this, leading the charge in creating solutions that provide easier access to quality care while diligently working to control costs. This is achieved by partnering closely with hospitals and doctors across the state, equipping them with the data and tools necessary to achieve superior healthcare outcomes.

Our innovation extends to the very structure of our products and our organization. In 2020, we launched our enhanced short-term Access plans, a first-of-its-kind solution in the nation designed for those who do not qualify for traditional subsidies. We also established our own pharmacy benefits manager, Blue Cross of Idaho Rx, to directly combat the escalating costs of prescription drugs for our members. Recognizing the power of digital transformation, we are leveraging a sophisticated tech stack that includes cloud platforms like AWS and Azure, modern CRM systems such as Salesforce and Microsoft Dynamics, and advanced data analytics tools like Tableau. We are also embracing API-first ecosystems and event-driven architectures to ensure seamless interoperability and data exchange. This technological foundation allows us to develop and deploy cutting-edge solutions, such as our Patient Access API, which empowers our members by giving them secure access and control over their health data. By relentlessly pursuing innovation and strategic technological adoption, Blue Cross of Idaho is not only shaping the future of healthcare in Idaho but also setting a new standard for the industry nationwide.

Employee benefits

Learn about the employee benefits and perks provided at Blue Cross of Idaho.

View benefits

Pharmacy Insurance

Coverage for prescription drugs.

Life insurance

Company-provided life insurance.

Paid family leave program

Paid leave for family-related reasons.

Dental Insurance

Comprehensive dental insurance coverage.

View Blue Cross of Idaho's employee benefits
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Blue Cross of Idaho

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