Principal Actuary - ACA Pricing
WFA Digital Insight
The demand for skilled actuaries in the healthcare sector has grown significantly, with a 25% increase in job openings over the past year. As the industry continues to evolve, companies like Blue Cross NC are seeking experts who can drive business decisions with data-driven insights. With the rise of remote work, professionals can now leverage their skills to make a meaningful impact from anywhere. In this role, you'll have the opportunity to work with a team that's deeply invested in the community, and your expertise will be crucial in shaping the future of healthcare delivery. Before applying, consider how your skills align with the company's goals and be prepared to discuss your experience in actuarial modeling and healthcare pricing.
Job Description
About the Role
As a Principal Actuary in ACA Pricing at Blue Cross NC, you will play a critical role in shaping the company's pricing strategies and driving business decisions. Your expertise in actuarial modeling, healthcare pricing, and data analysis will be essential in informing key business decisions. You will work closely with cross-functional teams to develop and implement pricing models, care management programs, and insurance product development.The role entails leading complex actuarial analyses, managing projects, and providing consultative support to various stakeholders. Your expertise will be leveraged to identify emerging risks and opportunities, and you will be responsible for developing and maintaining rating models to inform actuarial analysis.
The Actuarial Services team at Blue Cross NC is committed to delivering high-quality, cost-effective care to the communities they serve. As a Principal Actuary, you will be an integral part of this team, working collaboratively to drive business success and make a meaningful impact in the healthcare sector.
What You Will Do
- Lead highly complex actuarial modeling to support key business decisions
- Develop and maintain rating models to inform actuarial analysis
- Perform medical trend analyses to evaluate cost patterns and emerging impacts
- Support the development of administrative expense factors
- Conduct experience studies to assess performance and support decision-making
- Conduct rating factor studies to evaluate assumptions and pricing inputs
- Support the development of rate filings
- Contribute to financial forecasting efforts across assigned areas
- Partner with FP&A to support plan forecasting for assigned segments
- Provide actuarial support to Network Management initiatives
- Evaluate the financial impact of provider contract changes
- Support underwriting activities across all segments
What We Are Looking For
- Bachelor's degree or advanced degree in a related field
- 5+ years of experience in actuarial modeling, healthcare pricing, or a related field
- Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries (MAAA)
- In lieu of an ASA, alternate actuarial credentials may be considered
- Strong technical skills, including proficiency in actuarial software and programming languages
- Excellent communication and interpersonal skills
- Ability to work in a team-oriented environment
- Strong problem-solving and analytical skills
Nice to Have
- Experience in ACA Pricing highly preferred
- Fellowship of the Society of Actuaries (FSA)
- Experience working in a remote environment
- Familiarity with healthcare industry trends and regulations
Benefits and Perks
- Competitive salary and benefits package
- Medical, dental, and vision coverage
- Parental leave and support, including adoption and surrogacy assistance
- Career development programs and tuition reimbursement for continued education
- 401(k) match, including an annual company contribution
- Flexible work arrangements, including remote work options
- Access to cutting-edge technology and tools
- Opportunities for professional growth and development
- Collaborative and dynamic work environment
How to Stand Out
- Be prepared to discuss your experience in actuarial modeling and healthcare pricing, and how you can apply your skills to drive business decisions.
- Highlight your ability to work in a team-oriented environment and your excellent communication and interpersonal skills.
- Familiarize yourself with the company's goals and mission, and be prepared to discuss how your skills align with their objectives.
- Consider showcasing your problem-solving and analytical skills, and be prepared to provide examples of how you have applied these skills in previous roles.
- Research the company's culture and values, and be prepared to discuss how you can contribute to and thrive in their dynamic work environment.
- Be prepared to discuss your experience working with actuarial software and programming languages, and how you stay up-to-date with industry trends and developments.
This is a remote position listed on WFA Digital, the platform for professionals who work from anywhere. Browse more remote jobs across all categories.