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Job Description

As a Principal Actuary - ACA Pricing at our healthcare organization, you’ll play a pivotal role in shaping the future of care delivery through data-driven insights and innovative actuarial strategies. You’ll lead complex analyses that directly impact our pricing models, care management programs, and insurance product development—ensuring we deliver high-quality, cost-effective care to the communities we serve.

You’ll be a trusted advisor, translating complex data into clear, actionable recommendations that support strategic decision-making. Your ability to anticipate emerging risks and opportunities will help us stay agile in a rapidly changing industry.

If you're passionate about using actuarial science to make a meaningful impact in healthcare, we’d love to have you on our team.

What You’ll Do

+ Actively contributes to the success of the Actuarial Services team.

+ Responsible for handling highly complex actuarial modeling.

+ Leads and/or provides consultative support to assigned projects and is viewed as an expert in the field.

+ Assists in Rating/Pricing

+ Develop/Maintain rating models

+ Perform Medical Trend analysis

+ Support Administrative Expense factor development

+ Conduct Experience Studies

+ Conduct Rating Factor Studies

+ Support Rate Filing development

+ Assists in support for Financial Forecasting

+ Works with FP&A to support development of Plan forecast for assigned segments

+ Assists in support for Network Management

+ Support evaluation of financial impacts of provider contract changes

+ Assists in support for Underwriting (all segments)

+ Provide ad hoc support for underwriting requests

+ Assists in support for Sales and Marketing

+ Provide support for new product development

+ Provide support for new/existing product programs

+ Continuing Education

+ 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

What You Bring

+ 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).

Bonus Points

+ Experience in ACA Pricing Knowledge highly preferred

What You’ll Get

+ 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

Salary Range

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._

$105,600.00 - $191,800.00

Skills

Actuarial Analysis, Actuarial Modeling, Actuarial Science, Actuarial Services, Benefits Analysis, Budgeting, Complex Project Management, Financial Analysis, Healthcare Management, Office Administration, People Management, Pharmacy, Provider Services, Requirements Management, Support Services, Underwriting Management

About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at [email protected] .

For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two:

Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming