Sr Actuarial Analyst - Medicare Advantage

Job Description

• Collaborate with a team of actuaries to ensure a coordinated approach to the actuarial components of health programs.

• Provide actuarial support to Network Management, Underwriting, Sales and Marketing, Finance, and Healthcare departments.

• Conduct actuarial research, experience studies, and statistical analyses using Excel, SQL, and SAS.

• Calculate premiums, risk scores, and reserves for new and existing insurance plans.

• Support senior analysts and actuaries as needed.

• Retrieve and validate data for actuarial models, build model enhancements, and analyze changes to calculated factors.

• Communicate filing status to internal stakeholders and transmit rate filings to regulatory agencies (NCDOI, CMS).

• Distribute established reports, respond to inquiries, and investigate trends and anomalies.

• Provide analytic support for corporate and departmental projects.

Hiring Requirements

• Bachelor's degree or advanced degree (where required).

• Minimum of 4 years of experience in Medicare Advantage.

• Completion of at least 5 actuarial exams towards the ASA designation.

Preferred Skills

• Proficiency in Excel, SQL, SAS, and other statistical software.

• Excellent written and verbal communication skills for effective collaboration and presentation.

• High attention to detail and accuracy in data analysis and reporting.

• Experience managing multiple projects and meeting deadlines.

• Ability to work independently and as part of a team, providing support to senior analysts and actuaries.

Join us and make a significant impact on our Medicare Advantage programs. Apply today to be part of a team that values your expertise and offers opportunities for professional growth!

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.