Principal Actuary - Medicare Advantage
About The Position
Blue Cross NC is seeking a Principal Actuary to join its Medicare Advantage Medical Economics team, serving as a market‑aligned thought partner to finance and health plan leadership. This role focuses on applying deep medical economics expertise and professional judgment to support market‑level decision‑making, ensuring leaders have a clear, credible understanding of medical cost performance and outlook. The ideal candidate brings strong analytical rigor, strategic perspective, and the ability to communicate complex concepts clearly to senior, non‑technical stakeholders. Leadership responsibilities may be assigned, particularly for designated projects.
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
- In lieu of an ASA, alternate actuarial credentials may be considered.
- In lieu of 5 years of experience, may consider candidates who are Fellows of the Society of Actuaries (FSA).
Nice To Haves
- 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.
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)
- Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Principal
Number of Employees
1,001-5,000 employees
