Principal Actuary supporting Medicare Advantage at Blue Cross NC. Analyzing medical cost performance and collaborating with senior leadership for strategic decision-making.
Responsibilities
Synthesize cost, utilization, mix, and unit cost dynamics to identify emerging risks and opportunities impacting market and segment financial performance
Translate complex medical cost dynamics into implications and recommendations that directly inform market strategy, pricing, and financial planning
Proactively identify, size, and frame cost management opportunities using rigorous, transparent analytics
Integrate insights across medical economics domains into a cohesive, market-specific narrative
Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries)
Requirements
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
Deep experience in medical cost trend development, forecasting, and decomposition for Medicare Advantage or closely related lines of business – Highly Preferred
Demonstrated ability to build and defend market-specific trend assumptions that withstand executive and financial scrutiny – Highly Preferred
Expert-level knowledge of SQL and advanced Excel
Strong critical thinking and creative problem-solving skills.
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
Work-life balance, flexibility, and the autonomy to do great work
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