Senior Actuarial Analyst - Medical Economics

Job Description We’re seeking a Senior Actuarial Analyst to support the Medical Economics Enablement team by turning complex healthcare data into actionable insights that improve affordability and inform strategic decision-making. This role partners closely with business, actuarial, and technical teams to design and deliver reports, dashboards, scorecards, and other analytic solutions that help identify cost drivers, evaluate performance, and support enterprise priorities. Using strong actuarial knowledge and sound judgment, the analyst gathers requirements, defines business rules, and develops Business Intelligence solutions that align with operational needs and actuarial standards of practice. What You’ll Do Develops reporting structure, toolset and analytic strategy to support market and domain teams as well as pricing for programs and products. Supports the rating process by determining the need for and building actuarial model enhancements. Distributes established reports and responds to inquiries. Supports the investigation of trends and anomalies. Coordinate and independently develop BI content (reports, dashboards, scorecards, more complex analytic solutions) through the entire development life-cycle to provide data necessary to effectively make business decisions and measure goal attainment and overall performance. Share expertise with business areas to assist in understanding enterprise data content, definitions and usage and the available BI tools. Maintains robust knowledge of data assets and tools and supports development/maintenance of a formal Knowledge Base. Plans, implements, manages and/or contributes to projects that are moderate/high complexity. Is a participant in good standing in the Actuarial Development Program What You Bring Bachelor's degree or advanced degree (where required) 4+ years of experience in relevant actuarial experience. Related experience may be considered. Must have completed 5 or more exams towards the eventual attainment of the ASA designation. In lieu of meeting minimum exam requirements, may consider additional relevant experience. In lieu of meeting minimum experience requirement, may consider ASA or more exams towards the eventual attainment of ASA. Bonus Points Commercial and Medicare Healthcare knowledge – Highly Preferred Experience with risk modeling/normalization, outlier analysis and benchmarking Experience with Business Intelligence (BI) software – preferably Power BI Experience with MS suite and Power tools (Power Automate, etc.) – nice to have SQL (required), Python/R, automation/workflow software like Alteryx (nice to have) Strong communication/storytelling abilities 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 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. $98,092.00 - $156,947.00 Skills Actuarial Analysis, Actuarial Consulting, Actuarial Science, Business Analysis, Complex Project Management, Financial Modeling, Hiring Management, People Management, Risk Assessments, Valuation Analysis _____________________________________________________________________ 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 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: View email address on click.appcast.io. 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 for English or Visión 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 View email address on click.appcast.io. 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