Principal Actuary

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

Benefits offered by this job

Medical, dental, and vision coverage

Parental leave and surrogacy support

Career development & tuition reimburse

401k match

Work-life balance and flexibility

Annual incentive bonus

Paid Time Off (PTO)

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a Principal Actuary to provide advanced actuarial analysis, complex rating and pricing, valuation, and financial forecasting. The role collaborates across health programs and supports Network Management, Underwriting, and Sales & Marketing.

The position may include leadership on assigned projects and requires ASA/MAAA or FSA credentials with 5+ years in the field.

Qualifications

• Bachelor's degree or advanced degree in a related field.
• ASA and MAAA membership or equivalent.
• 5+ years of related actuarial experience.
• FSA may be considered as alternative credential.

Responsibilities

• Contribute to success of Actuarial Services.
• Handle highly complex actuarial modeling.
• Lead or consult on projects; provide expert guidance.
• Support Rating/Pricing and develop/maintain rating models.
• Perform Medical Trend analyses and expense factor development.
• Conduct Experience Studies and Rating Factor Studies.
• Support Rate Filing, Financial Forecasting, and FP&A activities.
• Assist Network Management, Underwriting, Sales & Marketing.

Skills

Actuarial analysis

Actuarial modeling

Leadership

Experience 5+ years

Education

Bachelor's degree or higher

ASA + MAAA

FSA (optional)

Job description

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, and Sales and Marketing. This role may also include team leadership responsibilities, particularly for assigned projects.

What You'll Do

• 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

• Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries)

• Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation

What You Bring

• Bachelor's degree or advanced degree (where required)

• Associate of the Society of Actuaries(ASA) and Member of the American Academy of Actuaries (MAAA)

• 5+ years of experience in related field

• In lieu of an ASA, alternate actuarial credentials may be considered.

• In lieu of 5 years of experience, may consider candidates who are Fellows of the Society of Actuaries (FSA).

What You'll Get

• The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community.

• Work-life balance, flexibility, and the autonomy to do great work.

• Medical, dental, and vision coverage along with numerous health and wellness programs.

• Parental leave and support plus adoption and surrogacy assistance.

• Career development programs and tuition reimbursement for continued education.

• 401k match including an annual company contribution.

• Learn more

Where You'll Work

Our Hybrid Flex approach is built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplace that's flexible, connected, and future focused.

In a Hybrid-Flex role, you'll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you'll work virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$118,691.00 - $189,906.00

Skills

Actuarial Analysis, Actuarial Modeling, Actuarial Science, Actuarial Services, Benefits Analysis, Budgeting, Complex Project Management, Financial Analysis, Healthcare Management, Office Administration, People Management, Pharmacy, Provider Services, Requirements Management, Support Services, Underwriting Management