Senior ACA Risk Adjustment Actuary - Consulting Leader

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

Benefits offered by this job

Medical, dental, vision coverage

Parental leave and surrogacy support

Tuition reimbursement and career dev.

401k with company match

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary specializing in ACA Risk Adjustment. You will lead pricing strategies and actuarial initiatives for multiple business segments, evaluating care models and designing sophisticated insurance products.

Responsibilities include benchmarking analyses, advising leadership, and managing vendor and regulator relationships while maintaining actuarial credentials. A strong market focus and collaboration across teams are required.

Qualifications

• Bachelor's degree or advanced degree (where required).
• Member of the American Academy of Actuaries; Fellow of the Society of Actuaries.
• 7 years of relevant actuarial experience; ASA with 9+ years acceptable in lieu of FSA.

Responsibilities

• Lead pricing strategies and actuarial initiatives for business segments.
• Evaluate advanced care management models and pricing of insurance products.
• Conduct competitive benchmarking analyses and provide strategic insights.
• Design and price sophisticated insurance products with financial risk in mind.
• Communicate findings to leadership and manage external partnerships.
• Maintain continuing education and actuarial credentialing.

Skills

Actuarial Analysis

Actuarial Management

Actuarial Science

Actuarial Services

ACA

Complex Care Management

Financial Reporting

Hiring Management

Insurance Industry

Leadership

Regulatory Compliance

Education

Bachelor's degree or advanced degree

Member of the American Academy of Actuaries

Fellow of the Society of Actuaries

ASA with ≥9 years experience considered in lieu of FSA

Job description

Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary specializing in ACA Risk Adjustment. You will lead pricing strategies and actuarial initiatives for multiple business segments, evaluating care models and designing sophisticated insurance products.

Responsibilities include benchmarking analyses, advising leadership, and managing vendor and regulator relationships while maintaining actuarial credentials. A strong market focus and collaboration across teams are required.