Job Description

Blue Cross NC is seeking a Principal Actuary to leverage advanced expertise in mathematics, probability, statistics, health insurance, and business principles to deliver comprehensive technical support for complex rating, pricing, valuation, and financial forecasting initiatives. The role involves collaborating with a team of actuaries to ensure a unified approach to the actuarial aspects of health programs. Additionally, the Principal Actuary will provide actuarial support to Network Management, Underwriting, and Sales and Marketing departments. Leadership responsibilities may be assigned, particularly for designated projects.

What You’ll Do

• Actively contributes to the success of the Actuarial Services team.

• Responsible for handling highly complex actuarial modeling.

• Leads and/or provides consultative support to assigned projects and is viewed as an expert in the field.

• Assists in Rating/Pricing

• Develop/Maintain rating models

• Perform Medical Trend analysis

• Support Administrative Expense factor development

• Conduct Experience Studies

• Conduct Rating Factor Studies

• Support Rate Filing development

• Assists in support for Financial Forecasting

• Works with FP&A to support development of Plan forecast for assigned segments

• Assists in support for Network Management

• Support evaluation of financial impacts of provider contract changes

• Assists in support for Underwriting (all segments)

• Provide ad hoc support for underwriting requests

• Assists in support for Sales and Marketing

• Provide support for new product development

• Provide support for new/existing product programs

• Continuing Education

• Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries)

• Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation

What You Bring

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

• Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries (MAAA)

• 5+ years of experience in related field

• In lieu of an ASA, alternate actuarial credentials may be considered.

• In lieu of 5 years of experience, may consider candidates who are Fellows of the Society of Actuaries (FSA).

Bonus Points

• Value Based Care experience a plus

• Expert-level knowledge of SQL and advanced Excel – Highly Preferred

• Experience building complex financial models – Highly Preferred

• Proven ability to communicate complex actuarial concepts to non-actuarial stakeholders and senior management.

• Strong critical thinking and creative problem-solving skills.

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community.

• Work-life balance, flexibility, and the autonomy to do great work.

• Medical, dental, and vision coverage along with numerous health and wellness programs.

• Parental leave and support plus adoption and surrogacy assistance.

• Career development programs and tuition reimbursement for continued education.

• 401k match including an annual company contribution

• Learn more

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$118,691.00 - $189,906.00

Skills

Value Based Care

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.