Principal Actuary, Cost of Care

About the role

The Principal Actuary delivers a broad range of actuarial or analytical work for the company, such as conducting pricing and actuarial strategy for a business segment, evaluating advanced care management models, performing competitive benchmarking analysis, and conducting economic value evaluation of cost containment initiatives. They support the company strategy by providing sound, consistent, and actionable actuarial analysis and recommendations, and can identify and react to nuanced risks and opportunities.

Responsibilities

• Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work
• Proactively and strategically lead improvements in processes, risk reduction, and meeting department and enterprise objectives to drive profitable growth and/or enhance value, quality, and access for Blue Cross NC customers
• Provide concise explanations of results and variances to expectations; serve as a financial steward for the company
• Communicate effectively with all levels and divisions within the organization, including Divisional Leadership
• Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates
• Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor
• Meet continuing education standards required for job function, thought leadership, and maintenance of actuarial credentials
• Develop measurement models for various cost savings initiatives across the company’s many strategic areas including, but not limited to, clinical care management, alternative payment arrangements with providers, medical coding and policy adherence practices, and other emerging drivers of trend

Requirements

• Bachelor's degree or advanced degree in related field
• ASA designation (FSA preferred); exam takers may be considered based on other experience
• 5+ years of relevant actuarial experience, related experience may be considered
• Bonus points for SQL-based data queries and data management, experience with data visualization applications such as Power-BI and Tableau, and experience creating and presenting external, client-facing materials and reports

Qualifications

• Bachelor's degree or advanced degree in related field
• ASA designation (FSA preferred); exam takers may be considered based on other experience
• 5+ years of relevant actuarial experience, related experience may be considered

Skills

• SQL-based data queries and data management
• Data visualization applications such as Power-BI and Tableau
• Creating and presenting external, client-facing materials and reports

Benefits

• Medical, dental, and vision coverage
• Multiple 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

Pay

$118,691.00 - $189,906.00

Schedule

Flexible schedule