Senior Health Actuary & Pricing Leader

Blue Cross and Blue Shield of North Carolina; Wisconsin; Hybrid; USD 119,000 - 190,000; Full time

Benefits offered by this job

401k match

Paid Time Off (PTO)

Health benefits

Parental leave and adoption support

Tuition reimbursement

Career development programs

Annual incentive bonus

Company contributions

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 partners with actuarial teams to ensure coordination across health programs and supports Network Management, Underwriting, and Sales and Marketing.

The role may include team leadership responsibilities for assigned projects and requires deep knowledge of health insurance, mathematics, and business

Qualifications

• Bachelor's degree or advanced degree where required.
• ASA and MAAA membership.
• 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, 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
• 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

Skills

Actuarial Analysis

Actuarial Modeling

Actuarial Science

Actuarial Services

Financial Forecasting

Project Leadership

Education

Bachelor's degree

Advanced degree

ASA

MAAA

FSA (alternative)

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 partners with actuarial teams to ensure coordination across health programs and supports Network Management, Underwriting, and Sales and Marketing.

The role may include team leadership responsibilities for assigned projects and requires deep knowledge of health insurance, mathematics, and business