Principal Actuary - Medicare Pricing

Blue Shield of North Carolina • Durham, NC

2d • $118,691 - $189,906

About The Position

Applies advanced knowledge of mathematics, probability, statistics, health insurance, and principles of business in order to provide assistance and technical support for extensive and more complex rating/pricing, valuation, and financial forecasting. Works with a team of actuaries to assure a coordinated approach to the actuarial components of health programs. Provides actuarial support to Network Management, Underwriting, and Sales and Marketing. May have team leadership responsibilities, especially on specific 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

• 3+ years of pricing experience in one or more of the following: MA-PD, PDP, EGWP, MedSupp – Highly Preferred
• S trong communication and organization skills
• Strong technical, data, and coding skills
• Ability to think creatively and strategically, leveraging business knowledge to drive change and mitigate risks
• Adaptive and versatile learner, with ability to react quickly to changing business dynamics

Responsibilities

• Develop and maintain actuarial models to support the Medicare Advantage bid process and other Medicare pricing efforts
• Perform actuarial research, experience studies, and statistical analyses using Excel, SQL, and SAS
• Provide ad-hoc analytic and pricing support for corporate and departmental projects
• Communicate effectively with actuarial peers, key internal customers, and direct leadership

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
• Based on annual corporate goal achievement and individual performance.
• $118,691.00 - $189,906.00

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees