Senior Actuarial & Data Analytics Lead

Blue Cross and Blue Shield of North Carolina; Philadelphia (Philadelphia County); Hybrid; USD 98,000 - 157,000; Full time

Job summary

Blue Cross NC is seeking a Senior Actuarial Analyst to join our Medical Economics Enablement team. You will apply actuarial expertise and advanced analytics to transform healthcare data into insights that improve affordability and support strategic decisions.

You will collaborate with actuarial, business, and technology partners to deliver scalable analytic solutions and data-driven recommendations. You will develop reporting, BI content, and model enhancements, while maintaining knowledge of

Qualifications

• Requires a bachelor's degree or higher in a relevant field.
• 4+ years of actuarial experience; related experience considered.
• Must have completed 5+ ASA exams or equivalent, ASA progression considered.

Responsibilities

• Develops reporting structure, toolset and analytic strategy to support market and domain teams as well as pricing for programs and products.
• Supports the rating process by determining the need for and building actuarial model enhancements.
• Distributes established reports and responds to inquiries. Supports the investigation of trends and anomalies.
• Coordinate and independently develop BI content (reports, dashboards, scorecards, more complex analytic solutions) through the entire development life-cycle to provide data necessary to effectively make business decisions and measure goal attainment and overall performance.
• Share expertise with business areas to assist in understanding enterprise data content, definitions and usage and the available BI tools. Maintains robust knowledge of data assets and tools and supports development/maintenance of a formal Knowledge Base.
• Plans, implements, manages and/or contributes to projects that are moderate/high complexity.
• Is a participant in good standing in the Actuarial Development Program

Skills

Strong communication/storytelling Abil

SQL (required)

Education

Bachelor's degree or advanced degree

Tools

Power BI

Snowflake

Python/R

Alteryx

Power Automate

Job description

Blue Cross NC is seeking a Senior Actuarial Analyst to join our Medical Economics Enablement team. You will apply actuarial expertise and advanced analytics to transform healthcare data into insights that improve affordability and support strategic decisions.

You will collaborate with actuarial, business, and technology partners to deliver scalable analytic solutions and data-driven recommendations. You will develop reporting, BI content, and model enhancements, while maintaining knowledge of