Blue Cross NC · 4 hours ago
Principal Actuary - Medicaid
United States
Full-time
Remote
Senior Level, Lead/Staff
$119K/yr - $190K/yr
5+ years expBlue Cross NC is seeking a strategic and technically experienced Principal Actuary to lead complex actuarial work that informs key business decisions across the organization. The role involves applying advanced expertise in mathematics, probability, statistics, and health insurance to guide pricing, valuation, and financial forecasting initiatives.
FinanceProperty & Casualty InsuranceHealth InsuranceFinancial ServicesInsurance
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
Qualification
Required
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)
Preferred
Prior experience with Medicaid Highly Preferred
Prior experience in Health Reserving Highly Preferred
Prior experience with Financial Reporting & Accounting 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
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
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