Strategic ACA Risk Adjustment Actuary (Hybrid/Remote)

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

Benefits offered by this job

Medical, dental, and vision coverage

Parental leave and surrogacy/adoption…

Tuition reimbursement and career dev.

401k match and annual company contrib

Job summary

Blue Cross NC seeks a Consulting Actuary - ACA Risk Adjustment to shape financial performance and risk strategies for the ACA business. You will influence pricing, risk adjustment, product design, and cross-functional decisions as a strategic partner across the enterprise.

You will navigate complex projects, communicate with leadership, and manage external partnerships while advancing actuarial excellence and staying current with continuing education requirements.

Qualifications

• Bachelor's degree or advanced degree as required.
• Member of the American Academy of Actuaries and Fellow of the SOA.
• 7+ years of actuarial experience; ASA with 9+ years considered in lieu of FSA.

Responsibilities

• Lead complex actuarial or analytical projects with timeliness and quality.
• Provide strategic leadership to improve processes and drive profitable growth.
• Explain variances and results to senior leadership; act as a financial steward.

Skills

Actuarial expertise

Strategic thinking

Stakeholder communication

Financial analysis

Education

Bachelor's degree

Fellow of the Society of Actuaries

Member of the American Academy of Actuaries

Tools

HHS-HCC model

Job description

Blue Cross NC seeks a Consulting Actuary - ACA Risk Adjustment to shape financial performance and risk strategies for the ACA business. You will influence pricing, risk adjustment, product design, and cross-functional decisions as a strategic partner across the enterprise.

You will navigate complex projects, communicate with leadership, and manage external partnerships while advancing actuarial excellence and staying current with continuing education requirements.