Hybrid/Remote Actuarial Analyst—Healthcare Pricing

Blue Cross and Blue Shield of North Carolina; South Carolina; Hybrid; USD 81,000 - 130,000; Full time

Job summary

Blue Cross NC is seeking an Actuarial Analyst to support rating, valuation, and financial forecasting. You will work with a team of actuaries and collaborate with Networks, Underwriting, Sales, Finance, and Healthcare teams.

The role emphasizes actuarial research, data validation, and model enhancement to support health program analysis. A Bachelor's degree and 2+ years of actuarial experience are expected, with ASA progress highly valued.

Qualifications

• Bachelor's degree or advanced degree expected for this role.
• Completion of at least 3 actuarial exams toward ASA is required or considered.
• Additional related experience may substitute for exam requirements.

Responsibilities

• Performs actuarial research, experience studies, and statistical analyses and calculations.
• Calculates premiums and reserves for new and existing plans.
• Supports senior analysts or actuaries as required.
• Retrieves and validates data for rate filings and models; builds enhancements and analyzes impact on products.
• Communicates filing status to stakeholders and transmits rate filings to regulators (NCDOI, CMS).
• Retrieves and validates data for monthly reports and for UCL and ALR calculations.
• Supports valuation by executing ALR models and verifying results; researches ALR assumptions and UCL estimates.
• Distributes reports and investigates trends and anomalies.
• Executes control activities to support Enterprise Risk Management.
• Provides analytic support for corporate projects.
• Participates in the Actuarial Development Program.

Skills

Actuarial Analysis

Actuarial Science

Analytical Support

Data Analysis

Data Verification

Experience Studies

Report Processing

Reports Analysis

Research Analysis

Researching

Education

Bachelor's degree or advanced degree

3+ exams toward ASA

Job description

Blue Cross NC is seeking an Actuarial Analyst to support rating, valuation, and financial forecasting. You will work with a team of actuaries and collaborate with Networks, Underwriting, Sales, Finance, and Healthcare teams.

The role emphasizes actuarial research, data validation, and model enhancement to support health program analysis. A Bachelor's degree and 2+ years of actuarial experience are expected, with ASA progress highly valued.