• provides actuarial support across a broad range of actuarial and business needs for Medicaid product lines • work on problems of diverse scope and complexity ranging from moderate to substantial • report to the Lead Pricing Actuary (Market Manager) • responsible for any combination of capitation rate review, drafting rate advocacy communications, actual-to-expected business analytics, forecasting market-specific financial results, and ad hoc market support • advise executives to develop functional strategies (often segment specific) on matters of significance • exercise independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision • use independent judgment requiring analysis of variable factors and determining the best course of action

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Our captive actuarial practice is looking for an experienced P&C Actuary who will manage the timely and accurate delivery of various types of actuarial analyses to a large portfolio of captive and self-insured clients. What can you expect? Joining a team of Actuarial Consultants and Actuarial Analysts, specialized in the delivery of client engagements such as: - Evaluations of unpaid claims liabilities - Statements of Actuarial Opinion - Loss funding and payout projections - Ratemaking - Captive feasibility studies - Retention optimization - Risk transfer opinions - Premium allocations - Commutation valuations - Parent company self-retained liability analyses - M&A due diligence - Cost allocations - Capital analyses Managing actuarial projects from start to finish, including: - Ensuring quality and timeliness of client deliverables - Developing budgets and billing reports - Acting as senior client contact - Preparing/delivering concise communications and results to client Acting as a mentor to junior actuarial staff and overseeing their basic actuarial work. What makes this role exciting? - Working on a wide range of projects for clients across many industry sectors - Addressing numerous P&C insurance coverages from traditional lines to unique captive offerings - Communicating to technical and non-technical stakeholders - Being part of a large captive management and consulting team creating analytical models and cutting-edge solutions - Being part of the world’s largest broking and risk management organization - Working for a global company that embraces cultural diversity Qualifications - BA/BS degree - Actuarial credentials (ACAS or FCAS) required - Qualification under US standards to sign P/C Statements of Actuarial Opinion - Five or more years of relevant actuarial experience, preferably in a consulting environment - An expert level of understanding of property & casualty insurance products and actuarial skills - Superior analytical and mathematical skills, strong command of Excel - Outstanding interpersonal skills, strong oral and written communication skills Requirements - Demonstrated record of building trusted relationships with external and internal stakeholders - Exceptional organizational and project management skills - Ability to prioritize and handle multiple and complex tasks in a fast-paced work environment - Strong critical thinking and analytical problem-solving skills with desire to develop - Ability to manage, motivate, and mentor more junior level staff - Property pricing experience Benefits - Professional development opportunities - Interesting work - Supportive leaders - Vibrant and inclusive culture - Range of career opportunities - Health and welfare benefits - Tuition assistance - 401K savings and other retirement programs - Employee assistance programs

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Actuarial Informatics Analyst Intermediate performs measure and metric development, report/analytic creation and serving as the lead for various informatic sub-groups. Produces analytics used to measure quality and efficiency performance quantifying Jefferson's and associated business partners' performance in multiple Value Based Purchasing contracts. - Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. - Produces system-wide reporting and performance management arrays in support of identifying open care gaps, utilization leakage/keepage and other revenue enhancement opportunities. - Develops analytics to clearly identify drivers of adverse trend performance and/or benchmark achievement. - Develops and/or utilizes existing actuarially sound models in support of predictive analytics, risk adjustment and benchmark models. - Creates and presents executive level summaries that clearly depict performance and opportunities for improvement in all value based purchasing programs. - Executes analytic processes required to support population health at Jefferson, including but not limited to: - Case-mix adjusted physician profiling - Operational, quality, cost and utilization analytics - Risk analytics - Trending and forecasting - Predictive modeling - Program evaluation using advanced techniques - Actuarial analyses - Data mining - Continuously develops data expertise needed to optimally use business and other data to support population health reporting and analytics tools and processes; includes expert data knowledge, quality control and following appropriate standards. - Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson. Qualifications - Bachelor’s Degree in Business, Mathematics, Computer or other data relevant field required. - Minimum of 3 years related professional work experience in a progressive healthcare setting required. - OR Minimum of 2 years related professional work experience in a progressive healthcare setting required and passage of at least one (1) Society of Actuarial (SOA) exams and active in the Exam Program. Requirements - Advanced programming in SAS, SQL Query Construction or other programming language. - Understanding of relational database systems and uses. Benefits - Comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits. - Access to tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service. - All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

Job Description As a Consulting Actuary – Part D, you will play a critical role in delivering a wide range of actuarial and analytical services for our organization. Your responsibilities will include developing pricing strategies and actuarial solutions for specific business segments, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing as well as pricing complex insurance products. You will support the company's strategic objectives by providing reliable, actionable actuarial insights and recommendations, while adeptly identifying and responding to nuanced risks and opportunities. In this role, you will demonstrate flexibility and adaptability within a dynamic and evolving industry environment. What You’ll Do - Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work - Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers - Achieve segment financial targets and provide concise explanations of results and variances to expectations; act 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. What You Bring - Bachelor's degree or advanced degree (where required) - Member of the American Academy of Actuaries - Fellow of the Society of Actuaries - 7 years of relevant actuarial experience, related experience may be considered. - In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience. Bonus Points - Experience in Medicare Part D pricing with a deep understanding of Part D financial drivers strongly preferred - Proficiency with drug trend modeling and loss‑of‑exclusivity (patent loss) forecasting - Strong formulary strategy and analytics skills, including formulary composition, tiering strategy, and formulary impact modeling What You’ll Get - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work   - Medical, dental, and vision coverage along with numerous 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 - Learn more   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. $143,616.00 - $229,786.00 Skills Actuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services, Complex Care Management, Financial Reporting and Analysis, Hiring Management, Insurance Industry, Organizational Leadership, Regulatory Compliance_____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.