Senior Actuarial Analyst - Medical Economics

Job Description

Blue Cross NC is seeking a Senior Actuarial Analyst to join our Medical Economics Enablement team. In this role, you will apply actuarial expertise and advanced analytical skills to transform complex healthcare data into actionable insights that improve affordability, support strategic decision-making, and drive business performance. Working closely with actuarial, business, and technology partners, you will develop scalable analytic solutions, identify cost drivers and trends, and deliver data-driven recommendations that support enterprise priorities. The ideal candidate combines strong actuarial knowledge with technical proficiency in data analysis, programming, and healthcare analytics.

What You’ll Do

• Develops reporting structure, toolset and analytic strategy to support market and domain teams as well as pricing for programs and products.

• Supports the rating process by determining the need for and building actuarial model enhancements. 

• Distributes established reports and responds to inquiries. Supports the investigation of trends and anomalies.

• Coordinate and independently develop BI content (reports, dashboards, scorecards, more complex analytic solutions) through the entire development life-cycle to provide data necessary to effectively make business decisions and measure goal attainment and overall performance.

• Share expertise with business areas to assist in understanding enterprise data content, definitions and usage and the available BI tools. Maintains robust knowledge of data assets and tools and supports development/maintenance of a formal Knowledge Base.

• Plans, implements, manages and/or contributes to projects that are moderate/high complexity.

• Is a participant in good standing in the Actuarial Development Program

What You Bring

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

• 4+ years of experience in relevant actuarial experience. Related experience may be considered.

• Must have completed 5 or more exams towards the eventual attainment of the ASA designation.

• In lieu of meeting minimum exam requirements, may consider additional relevant experience.

• In lieu of meeting minimum experience requirement, may consider ASA or more exams towards the eventual attainment of ASA.

Bonus Points

• Commercial and Medicare Healthcare knowledge – Highly Preferred

• Experience with risk modeling/normalization, outlier analysis and benchmarking

• Experience with Business Intelligence (BI) software – preferably Power BI

• Experience with MS suite and Power tools (Power Automate, etc.) – nice to have

• Experience with AI development tools - especially Copilot and Cortex Code - highly preferred

• SQL (required) - especially the Snowflake environment, Python/R, automation/workflow software like Alteryx (nice to have)

• Strong communication/storytelling abilities

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   

Where You’ll Work 

Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused. 

In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter. 

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process. 

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.
 

$98,092.00 - $156,947.00

Skills

Business Intelligence (BI), Business Intelligence Development, Data Analysis, Data Analytics, Data Governance, Data Modeling, Data Science, Data Visualization, Data Warehousing (DW), Microsoft Power Business Intelligence (BI)

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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: [email protected].