Actuarial Analyst - Medicare

Job Description

We are seeking a motivated Actuarial Analyst to join our Medicare Pricing Team. In this role, you will apply your mathematical and statistical knowledge to support activities such as rating, valuation, healthcare economics, and financial forecasting. Guided by experienced actuaries, you will contribute to health programs and offer actuarial support across departments, including Network Management, Underwriting, Sales and Marketing, Finance, and Healthcare.

This is an excellent opportunity for individuals starting their actuarial career and looking to gain broad experience in the field.

• Performs actuarial research, experience studies, and statistical analyses and calculations.
• Calculates premiums and reserves of new and existing plans of insurance.
• Provides support to senior analysts or actuaries as required.
• Retrieves and validates data for rate filings and actuarial models. Builds model enhancements and determines reasons for changes to calculated factors. Analyzes impacts of changes to product lines and segments.
• Communicates filing status to internal stakeholders and transmits rate filings to regulatory agencies (NCDOI, CMS).
• Retrieves and validates data for monthly reports and for UCL and ALR calculation.
• Supports valuation by executing ALR model and verifying results. Researches to support ALR assumption studies and UCL estimates.
• Distributes established reports and responds to inquiries. Investigates trends and anomalies.
• Executes control activities to support Enterprise Risk Management.
• Provides analytic support for corporate and departmental projects.
• Is a participant in good standing in the Actuarial Development Program.

• Bachelor's degree or advanced degree (where required)
• 2+ years of relevant actuarial experience. Related experience may be considered.
• Must have completed at least 3 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 requirements, may consider ASA or more exams towards the eventual attainment of the ASA.

• Previous Medicare Advantage experience a plus
• SQL, SAS, Python experience highly preferred

• 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

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.

$81,068.00 - $