Consulting Actuary: ACA Risk Adjustment Expert

Blue Cross and Blue Shield of North Carolina; Chapel Hill (NC); On-site; USD 144,000 - 230,000; Full time

Benefits offered by this job

401k match with company contribution

Medical, dental, and vision coverage

Tuition reimbursement

Parental leave and adoption/surrogacy

Job summary

Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments, evaluate advanced care management models, and design sophisticated insurance products. You will provide reliable actuarial insights and recommendations to address complex risks and opportunities, supporting profitable growth and value for customers.

Qualified candidates typically have 7+ years of actuarial experience, AA/SOA credentials, and strong

Qualifications

• Bachelor's degree or advanced degree required.
• Fellow of the Society of Actuaries or ASA with substantial actuarial experience preferred.
• Experience with ACA Risk Adjustment and associated methodologies highly desired.

Responsibilities

• Lead actuarial projects and pricing initiatives for business segments.
• Evaluate advanced care management models and conduct benchmarking analyses.
• Provide strategic actuarial insights and risk/opportunity recommendations.
• Collaborate with leadership to meet financial targets and governance standards.
• Maintain professional education and actuarial credentials.

Skills

ACA Risk Adjustment knowledge

Financial analysis

Leadership

Communication

Education

Bachelor's degree

Advanced degree

ASA or FSA credentials

Job description

Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments, evaluate advanced care management models, and design sophisticated insurance products. You will provide reliable actuarial insights and recommendations to address complex risks and opportunities, supporting profitable growth and value for customers.

Qualified candidates typically have 7+ years of actuarial experience, AA/SOA credentials, and strong