Actuarial Data Systems Lead – Hybrid/Remote

Blue Cross and Blue Shield of North Carolina; Kentucky; Hybrid; USD 98,000 - 157,000; Full time

Benefits offered by this job

Annual Incentive Bonus

401(k) with employer match

PTO

Health benefits and wellness programs

Job summary

Blue Cross NC is seeking a Senior Actuarial Data Systems Analyst to deliver technical data support for actuarial financial systems. You will lead data marts, perform validations, and develop decision support solutions for medical and pharmacy claims data.

The role requires 5+ years of related experience (or 7+ years without a degree) and a strong background in data analysis, SQL development, and cross-functional collaboration.

Qualifications

• Bachelor's degree or advanced degree
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field

Responsibilities

• Manages the maintenance and optimization of the Actuarial Systems Data Marts
• Performs monthly data refreshes, financial validations and quality assurance checks to support Actuarial reporting and analytics
• Independently analyze business problems or opportunities; develop recommendations and solutions, implement those solutions, and provide communication on the associated actions, business impacts, and results.
• Develop decision support solutions; including medical and pharmacy claim financial data builds, data extracts, reports, data mart tables, views and analysis.
• Ensures financial granular detail data is appropriately auditable, snapshotted and stored for quarterly and year end audits.
• Establishes vendor and inter-departmental relationships to ensure the accuracy and completeness of financial data.
• Keeps abreast of changes in the company and with our external vendor; data that affects the departmental processes & systems, make recommendations of actions needed and implement changes to the applicable Actuarial Systems and processes where needed.
• Serve as the lead for multiple application areas, including data definitions, usage and file structure, technical structure of the code and the business rules, and structure of requirements that governs the functionality of the system.
• Provide technical leadership and application expertise to business project teams and non-project related activities for the full understanding and execution of all types of assignments.
• Plan and serve as a key liaison with business areas during development and implementation
• Provide detailed configuration expertise to customers and business partners. This includes verbal, written, and electronic communication, and delivering presentations when needed.
• Provide analytical support for departmental, divisional and corporate projects as needed to accomplish their business goals and to ensure the business needs are met.

Skills

Agile Methodology

Application Management

Business Analysis

Business Requirements

Business Requirements Analysis

Code Development

Process Design

Quality Assurance

System Testing

Unit Testing

Education

Bachelor's degree or advanced degree

5+ years of experience in related field

Tools

Facets

Job description

Blue Cross NC is seeking a Senior Actuarial Data Systems Analyst to deliver technical data support for actuarial financial systems. You will lead data marts, perform validations, and develop decision support solutions for medical and pharmacy claims data.

The role requires 5+ years of related experience (or 7+ years without a degree) and a strong background in data analysis, SQL development, and cross-functional collaboration.