Job Information
BlueCross BlueShield of North Carolina Principal Actuary in Remote Flex, North Carolina
Job Description
Blue Cross NC is seeking a Principal Actuary to leverage advanced expertise in mathematics, probability, statistics, health insurance, and business principles to deliver comprehensive technical support for complex rating, pricing, valuation, and financial forecasting initiatives. The role involves collaborating with a team of actuaries to ensure a unified approach to the actuarial aspects of health programs. Additionally, the Principal Actuary will provide actuarial support to Network Management, Underwriting, and Sales and Marketing departments. Leadership responsibilities may be assigned, particularly for designated projects.
What You’ll Do
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
What You Bring
Bachelor's degree or advanced degree (where required)
Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries (MAAA)
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, may consider candidates who are Fellows of the Society of Actuaries (FSA).
Bonus Points
Value Based Care experience a plus
Expert-level knowledge of SQL and advanced Excel – Highly Preferred
Experience building complex financial models – Highly Preferred
Proven ability to communicate complex actuarial concepts to non-actuarial stakeholders and senior management.
Strong critical thinking and creative problem-solving skills.
What You’ll Get
The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community.
Work-life balance, flexibility, and the autonomy to do great work.
Medical, dental, and vision coverage along with numerous health and wellness programs.
Parental leave and support plus adoption and surrogacy assistance.
Career development programs and tuition reimbursement for continued education.
401k match including an annual company contribution
Learn more (https://careers.bluecrossnc.com/global/en/benefits)
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
$118,691.00 - $189,906.00
Skills
Value Based Care
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .
About Us
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Authorization to Work in the United States
We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.
Request Accommodations
Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at HR.Staffing@bcbsnc.com .
Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states:
Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming