Consulting Actuary

Role Description

As a Consulting Actuary - ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include:

• Leading pricing strategies and actuarial initiatives for business segments.
• Evaluating advanced care management models.
• Conducting competitive benchmarking analyses.
• Designing and pricing sophisticated insurance products.
• Providing reliable, actionable actuarial insights and recommendations.
• Proactively identifying and addressing complex risks and opportunities.
• Ensuring our actuarial practices remain at the forefront of innovation and excellence.

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, will consider candidates who are an Associate of the Society of Actuaries (ASA) with at least 9 years of relevant actuarial experience.

Requirements

• 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 department and enterprise objectives.
• Achieve segment financial targets and provide concise explanations of results and variances to expectations.
• Communicate effectively with all levels and divisions within the organization, including Divisional Leadership.
• Manage external partnerships with vendors, auditors, regulators, and health care providers.
• Develop and maintain strong business relationships with internal partners.
• Meet continuing education standards required for job function, thought leadership, and maintenance of actuarial credentials.

Benefits

• The opportunity to work at the cutting edge of health care delivery.
• Work-life balance, flexibility, and autonomy.
• 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.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package. Our base salary is part of a robust Total Rewards package that includes:

• Annual Incentive Bonus (based on annual corporate goal achievement and individual performance).
• 401(k) with employer match.
• Paid Time Off (PTO).
• Competitive health benefits and wellness programs.

Salary range: $143,616.00 - $229,786.00

Skills

• Actuarial Analysis
• Actuarial Management
• Actuarial Science
• Actuarial Services
• Affordable Care Act (ACA)
• Complex Care Management
• Financial Reporting and Analysis
• Hiring Management
• Insurance Industry
• Organizational Leadership
• Regulatory Compliance