Strategic ACA Risk Adjustment Actuary

Blue Cross and Blue Shield of North Carolina; Tennessee; Hybrid; USD 144,000 - 230,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Parental leave and adoption support

Tuition reimbursement

401k match including company contrib.

Career development programs

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary - ACA Risk Adjustment to partner strategically on financial performance, pricing, risk adjustment, and product design for our ACA business. You will influence decisions through advanced actuarial analysis and cross-functional collaboration.

The role emphasizes leadership in risk adjustment, forecasting, and financial stewardship, with opportunities to drive improvements across the enterprise and deliver high-impact

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, related experience may be considered.
• In lieu of an FSA, ASA with at least 9 years of relevant actuarial experience.

Responsibilities

• Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work.
• Provide proactive and strategic thought leadership to improve processes, reduce risks, and meet objectives for profitable growth and improved value, quality, and access for Blue Cross NC customers.
• Achieve segment financial targets and explain results and variances; act as a financial steward for the company.
• Communicate effectively with all levels and divisions within the organization, including Divisional Leadership.
• Manage external partnerships with vendors, auditors, regulators, and healthcare providers, including contract/rate negotiations.
• Develop and maintain strong business relationships with internal partners; act as a strategic advisor.
• Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials.

Skills

Actuarial experience

Financial analysis

Stakeholder communication

Education

Bachelor's degree

Advanced degree

AAOA member

Fellow of SOA

Job description

Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary - ACA Risk Adjustment to partner strategically on financial performance, pricing, risk adjustment, and product design for our ACA business. You will influence decisions through advanced actuarial analysis and cross-functional collaboration.

The role emphasizes leadership in risk adjustment, forecasting, and financial stewardship, with opportunities to drive improvements across the enterprise and deliver high-impact