Senior ACA Risk Adjustment Actuary - Impactful Consulting

Blue Cross and Blue Shield of North Carolina; Idaho; On-site; USD 144,000 - 230,000; Full time

Job summary

Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments. You will evaluate advanced care management models, conduct competitive benchmarking analyses, and design and price sophisticated insurance products while providing reliable, actionable insights.

The role requires a strong actuarial background with AA/FSAs, 7+ years of relevant experience, and the ability to communicate with senior leadership and

Qualifications

• Bachelor's degree or advanced degree required.
• Member of the American Academy of Actuaries.
• Fellow of the Society of Actuaries.
• 7 years of relevant actuarial experience.
• ASA with at least 9 years of relevant actuarial experience accepted in lieu of FSA.

Responsibilities

• Lead pricing strategies and actuarial initiatives for business segments.
• Evaluate advanced care management models and pricing for insurance products.
• Conduct competitive benchmarking analyses and provide actionable insights.
• Support objectives with recommendations and address risks and opportunities.
• Communicate with senior leadership and manage external partnerships.
• Maintain continuing education to uphold actuarial credentials.

Skills

Actuarial analysis

Actuarial management

Actuarial science

ACA expertise

Financial reporting

Regulatory compliance

Organizational leadership

Hiring management

Insurance industry

Education

Bachelor's degree or advanced degree

Member of the American Academy of Actuaries

Fellow of the Society of Actuaries

7 years of actuarial experience

ASA with 9+ years experience

Job description

Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments. You will evaluate advanced care management models, conduct competitive benchmarking analyses, and design and price sophisticated insurance products while providing reliable, actionable insights.

The role requires a strong actuarial background with AA/FSAs, 7+ years of relevant experience, and the ability to communicate with senior leadership and