Senior Actuarial Analyst – Medical Economics

🔥 0 minutes ago

🏈 Alabama, Arizona, +21 more states – Remote

infoinfo

💵 $98.1k - $156.9k / year

⏰ Full Time

🟠 Senior

📊 Actuary

👻 Ghost score 0%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Blue Cross NC

Blue Cross NC

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

• Develop reporting structures, toolsets, and analytic strategies for market and domain teams and pricing for programs and products • Support the rating process by determining the need for and building actuarial model enhancements • Distribute established reports and respond to inquiries • Support investigation of trends and anomalies • Coordinate and independently develop BI content, including reports, dashboards, scorecards, and complex analytic solutions, through the full development lifecycle • Provide data for business decisions, goal attainment, and performance measurement • Share expertise with business areas on enterprise data content, definitions, usage, and available BI tools • Maintain knowledge of data assets and tools and support development and maintenance of a formal Knowledge Base • Plan, implement, manage, and/or contribute to moderate- and high-complexity projects • Apply actuarial expertise and advanced analytics to healthcare data to improve affordability, strategic decision-making, and business performance • Collaborate with actuarial, business, and technology partners

🎯 Requirements

• Bachelor's degree or advanced degree (where required) • 4+ years of relevant actuarial experience • Must have completed 5 or more exams toward eventual attainment of ASA designation • Additional relevant experience may be considered in lieu of minimum exam requirements • ASA or more exams toward eventual attainment of ASA may be considered in lieu of minimum experience requirement • Commercial and Medicare healthcare knowledge highly preferred • Experience with risk modeling/normalization, outlier analysis, and benchmarking • Experience with Business Intelligence software, preferably Power BI • Experience with MS Suite and Power tools, nice to have • Experience with AI development tools, especially Copilot and Cortex Code, highly preferred • SQL required, especially Snowflake • Python/R and automation/workflow software such as Alteryx, nice to have • Strong communication/storytelling abilities • Must be a participant in good standing in the Actuarial Development Program

🏖️ 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)

Apply Now

Similar Jobs

🔥 9 hours ago

Novacore

201 - 500

💼 Consulting

🏥 Healthcare

📦 Logistics

Reinsurance Lead Actuary pricing casualty and growth-line portfolios for Novacore’s specialty insurance business. Building actuarial data infrastructure, applying AI, and shaping reinsurance strategy.

🕒 Yesterday

Branch

501 - 1000

🚘 Automotive

💼 Consulting

📦 Logistics

Credentialed actuary leading home and auto pricing for Branch’s data-driven insurance business. Owning rate indications, filings, segmentation, and actuarial team development.

🕒 3 days ago

Astrana Health

1001 - 5000

💼 Consulting

📦 Logistics

🏥 Healthcare

Actuarial Senior Analyst modeling ACO forecasts, reserves, and shared savings for Astrana Health’s value-based healthcare portfolio. Supporting P&L, M&A diligence, CMS strategy, and SOX reporting.

🕒 3 days ago

The Standard

1001 - 5000

🏥 Healthcare

⚖️ Legal

💼 Consulting

Actuary supporting financial reporting, valuation, hedging, and reserve analytics for The Standard’s Individual Annuities business. Partnering with pricing, modeling, ALM, and finance teams.

🕒 3 days ago

Humana

10,000+ employees

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Actuary developing Medicare Part D pharmacy forecasting models for Humana, a U.S. healthcare company. Supporting financial planning, risk assessment, and trend analytics.