Lead Actuary: Health Pricing & Forecasting

Blue Cross and Blue Shield of North Carolina; Wyoming (OH); Hybrid; USD 119,000 - 190,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k match

PTO

Tuition reimbursement

Parental leave and adoption support

Job summary

Blue Cross NC is seeking a Principal Actuary to provide advanced actuarial analysis and technical support for complex rating and pricing, valuation, and financial forecasting work. This role applies deep knowledge of mathematics, probability, statistics, health insurance, and business principles to support key actuarial functions.

The Principal Actuary partners with actuarial teams to ensure a coordinated approach across health programs and provides support to Network Management, Underwriting,

Qualifications

• Bachelor's degree or advanced degree (where required).
• ASA and MAAA membership are requested.
• 5+ years of experience in related field.
• In lieu of ASA, alternate actuarial credentials may be considered.
• In lieu of 5 years of experience, Fellows of the Society of Actuaries (FSA) may be considered.

Responsibilities

• 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
• Maintains continuing education requirements as per Actuarial governing body.
• Participates in the Actuarial Development Program if pursuing FSA.

Skills

Actuarial analysis

Actuarial modeling

Actuarial science

Actuarial services

Budgeting

Complex project management

Financial analysis

Healthcare management

Provider services

Underwriting management

Requirements management

Pharmacy

Office administration

People management

Education

Bachelor's degree or advanced degree

ASA and MAAA

FSA (optional)

Job description

Blue Cross NC is seeking a Principal Actuary to provide advanced actuarial analysis and technical support for complex rating and pricing, valuation, and financial forecasting work. This role applies deep knowledge of mathematics, probability, statistics, health insurance, and business principles to support key actuarial functions.

The Principal Actuary partners with actuarial teams to ensure a coordinated approach across health programs and provides support to Network Management, Underwriting,