Actuarial Analyst - Value Based Care

Blue Cross Blue Shield of North Carolina

Blue Cross Blue Shield of North Carolina

Posted on Friday, May 31, 2024

Job Description

Under general guidance and supervision, applies knowledge of mathematics, probability, statistics, and principles of business in order to provide assistance and technical support for rating/pricing, valuation, healthcare economics and/or financial forecasting. Works with a team of actuaries to assure a coordinated approach to the actuarial components of health programs. Provides actuarial support to Network Management, Underwriting, Sales and Marketing, Finance, and/or Healthcare.
  • Performs actuarial research, experience studies, and statistical analyses and calculations.
  • Calculates premiums and reserves of new and existing plans of insurance.
  • Provides support to senior analysts or actuaries as required.
  • Retrieves and validates data for rate filings and actuarial models. Builds model enhancements and determines reasons for changes to calculated factors. Analyzes impacts of changes to product lines and segments.
  • Communicates filing status to internal stakeholders and transmits rate filings to regulatory agencies (NCDOI, CMS).
  • Retrieves and validates data for monthly reports and for UCL and ALR calculation.
  • Supports valuation by executing ALR model and verifying results. Researches to support ALR assumption studies and UCL estimates.
  • Distributes established reports and responds to inquiries. Investigates trends and anomalies.
  • Executes control activities to support Enterprise Risk Management.
  • Provides analytic support for corporate and departmental projects.
  • Is a participant in good standing in the Actuarial Development Program

Hiring Requirements

• Bachelor's degree or advanced degree (where required)

• 2+ years of relevant actuarial experience. Related experience may be considered.

• Must have completed at least 3 exams towards the eventual attainment of the ASA designation.

• In lieu of meeting minimum exam requirements, may consider additional relevant experience.

• In lieu of meeting minimum experience requirements, may consider ASA or more exams towards the eventual attainment of the ASA.

Salary Range

$68,200.00 - $109,100.00