Actuarial Analyst - D-SNP

Job Description

Are you passionate about applying your analytical skills to make a meaningful impact in healthcare? As an Actuarial Analyst - D-SNP, you'll play a key role in supporting our Medicare product valuation and reserving efforts, with a dedicated focus on the Dual Eligible Special Needs Plan (D-SNP) line of business. Working in close collaboration with a team of experienced actuaries, you'll blend your expertise in mathematics, probability, and statistics with essential business insights to deliver high-impact solutions for rating/pricing, valuation, healthcare economics, and financial forecasting.

In this role, you'll provide valuable actuarial support to teams across Network Management, Underwriting, Sales and Marketing, Finance, and Healthcare, ensuring a unified approach to the actuarial aspects of our health programs. If you're looking for an opportunity to grow your career, contribute to innovative health solutions, and be part of a supportive, dynamic environment, we invite you to apply and help shape the future of Medicare programs at our organization.

What You'll Do

• Performs actuarial research, experience studies, and statistical analyses and calculations.

• Calculates premiums and reserves of new and existing plans of insurance.

• Provides support to senior analysts or actuaries as required.

• Retrieves and validates data for rate filings and actuarial models. Builds model enhancements and determines reasons for changes to calculated factors. Analyzes impacts of changes to product lines and segments.

• Communicates filing status to internal stakeholders and transmits rate filings to regulatory agencies (NCDOI, CMS).

• Retrieves and validates data for monthly reports and for UCL and ALR calculation.

• Supports valuation by executing ALR model and verifying results.

• Researches to support ALR assumption studies and UCL estimates.

• Distributes established reports and responds to inquiries. Investigates trends and anomalies.

• Executes control activities to support Enterprise Risk Management.

• Provides analytic support for corporate and departmental projects.

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

What You Bring

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

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

• Must have completed at least 3 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 requirements, may consider ASA or more exams towards the eventual attainment of the ASA.

Bonus Points

• Prior experience with Medicare Advantage or PDP

• Prior experience in Health Reserving

• Dual Eligible Special Needs Plan (D-SNP) experience a plus

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.

$81,068.00 - $129,708.00

Skills

Actuarial Analysis, Actuarial Modeling, Actuarial Science, Analytical Support, Data Interpretations, Financial Analysis, Financial Modeling, Financial Reporting and Analysis, Report Compilation, Reports Analysis

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