Sr Actuarial Analyst - Medical Economics

Job Description

Blue Cross NC is hiring a Senior Actuarial Analyst to support healthcare economics and financial forecasting efforts that help drive informed business decisions and deliver value across the organization. In this role, you will apply your knowledge of mathematics, probability, statistics, and business principles to evaluate performance for existing initiatives within the Med Econ Savings portfolio, as well as newly proposed initiatives across clinical, pharmacy, network, payment integrity, value-based care, and other key areas.

This is an opportunity to contribute meaningful insights, strengthen financial performance, and support strategies that improve health care affordability and outcomes for our members.

• Performs qualitative and quantitative analysis of data to support savings measurements for various cost containment initiatives - both actual savings for existing programs and projected savings for newly-proposed ideas.

• Gathers, organizes, and analyzes data from various sources including internal colleagues, internal databases, and external partners.

• Develops and distributes established reports to internal and external stakeholders and responds to inquiries regarding results including investigations of material changes and/or anomalies.

• Supports records management and documentation of our Med Econ Savings portfolio performance over prior, current, and forecasted years.

• Plans, implements, manages and/or contributes to additional ad hoc projects that are moderate/high complexity.

• Is a participant in good standing in the Actuarial Development Program

• 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.

• Proficiency in Microsoft office applications (Excel, PPT, Word, etc.) and SQL

• Prior healthcare-focused roles

• Experience leveraging various developing AI capabilities

• Mastery of SQL-based data queries and data management

• Experience with data visualization applications such as Power-BI and Tableau

• Experience creating and presenting external, client-facing materials and reports.

• The opportunity to work at the cutting edgeof health care delivery with a teamthat'sdeeply invested in the community.

• Work-life balance, flexibility, and the autonomy to dogreat work

• Medical, dental, and vision coverage along withnumeroushealth 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.

Our Hybrid Flex approach is builton presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplace that'sflexible, connected, and future focused.

In a Hybrid-Flex role,you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role,you'llwork virtually, with a few in-office visits each year formeaningfulmoments that matter.

Whether your 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 anystateslistedonthis job posting. Onsite expectations will be discussed during the interview process.

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 - $

Actuarial Analysis, Actuarial Consulting, Actuarial Science, Business Analysis, Complex Project Management, Financial Modeling, Hiring Management, People Management, Risk Assessments, Valuation Analysis