Consulting Actuary - ACA Risk Adjustment & Strategy

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

Benefits offered by this job

Medical, dental, vision

401(k) match

Parental leave

Tuition reimbursement

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives for key business segments in the health plan. The role requires advanced actuarial credentials and strong analytical capabilities to price products and assess risk.

You will collaborate with internal partners and external stakeholders, manage vendor relationships, and ensure compliance while driving profitable growth and value for members in

Qualifications

• Bachelor's degree or advanced degree required.
• Member of the American Academy of Actuaries.
• Fellow of the Society of Actuaries or ASA with 9+ years of relevant actuarial experience.

Responsibilities

• Lead pricing strategies and actuarial initiatives for business segments.
• Evaluate advanced care management models.
• Conduct competitive benchmarking analyses.
• Design and price sophisticated insurance products.
• Provide reliable actuarial insights and recommendations.
• Identify and address complex risks and opportunities.
• Communicate with all levels, including Divisional Leadership.

Skills

ACA Risk Adjustment

Forecasting

Risk analysis

Financial impact analysis

Leadership communication

Vendor management

Education

Bachelor's degree or advanced degree

Member of the American Academy of Actuaries

Fellow of the Society of Actuaries

Job description

Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives for key business segments in the health plan. The role requires advanced actuarial credentials and strong analytical capabilities to price products and assess risk.

You will collaborate with internal partners and external stakeholders, manage vendor relationships, and ensure compliance while driving profitable growth and value for members in