Principal Actuary, Cost of Care

🔥 0 minutes ago

🏈 Alabama, Arizona, +21 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $118.7k - $189.9k / year

⏰ Full Time

🔴 Lead

📊 Actuary

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Blue Cross NC

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.

📋 Description

• Complete complex actuarial or analytical projects on time, compliantly, and with high quality • Provide strategic thought leadership to improve processes, reduce risks, and meet department and enterprise objectives • Support profitable growth and improve value, quality, and access for Blue Cross NC customers • Achieve segment financial targets and explain results and variances • Act as a financial steward for the company • Communicate with all organizational levels and divisions, including Divisional Leadership • Manage external partnerships with vendors, auditors, regulators, and health care providers • Negotiate contracts and/or rates • Develop and maintain strong relationships with internal partners and act as a strategic advisor • Perform performance evaluations for existing and proposed Cost of Care initiatives • Develop measurement models for cost savings initiatives across clinical care management, alternative payment arrangements, medical coding, policy adherence, and emerging trend drivers • Conduct pricing and actuarial strategy, care management model evaluation, competitive benchmarking, and economic value evaluation

🎯 Requirements

• Bachelor's degree or advanced degree in related field • ASA designation required; exam takers may be considered based on other experience • FSA preferred • 5+ years of relevant actuarial experience; related experience may be considered • SQL-based data queries and data management • Experience with data visualization applications such as Power BI and Tableau • Experience creating and presenting external, client-facing materials and reports • Meet continuing education standards required for the job function and maintenance of actuarial credentials

🏖️ Benefits

• Work-life balance, flexibility, and autonomy • Medical, dental, and vision coverage • Health and wellness programs • Parental leave and support • Adoption and surrogacy assistance • Career development programs • Tuition reimbursement for continued education • 401k match including an annual company contribution • Annual Incentive Bonus • Paid Time Off (PTO)