Blue Cross NC · 2 days ago
Consulting Actuary - Medicare Risk Adjustment
United States
Full-time
Remote
Senior Level
$117K/yr - $222K/yr
7+ years expBlue Cross NC is a healthcare organization seeking a Consulting Actuary to shape the future of care delivery through data-driven insights and strategic actuarial expertise. The role involves leading initiatives that impact patient outcomes and business performance, while conducting competitive benchmarking and identifying emerging risks in healthcare.
Financial ServicesHealth InsuranceInsurance
Responsibilities
Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work
Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers
Achieve segment financial targets and provide concise explanations of results and variances to expectations; 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 health care providers, including effective negotiation of contracts and/or rates
Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor
Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials
Qualification
Required
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, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience
Preferred
Experience in Medicare Advantage Risk Adjustment highly preferred
Benefits
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
Company
Blue Cross NC
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.
5001-10000 employees
H1B Sponsorship
Blue Cross NC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (1)
2023 (2)
2022 (5)
2021 (13)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Tunde Sotunde
President and Chief Executive Officer
Caleb Davies
Medicaid Market CFO - Healthy Blue of NC Medicaid
Recent News
2026-01-06
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2025-10-31
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