Actuarial Analyst - Medicare D-SNP

Join Our Team as an Actuarial Analyst - Medicare D-SNP! Are you eager to leverage your analytical talents to significantly impact the healthcare sector? As an Actuarial Analyst focusing on Medicare Dual Eligible Special Needs Plans (D-SNP), you will play a vital role in our organization's valuation and reserving processes. Collaborating with a talented team of actuaries, you will apply your knowledge of mathematics, probability, and statistics, combined with essential business acumen, to develop innovative solutions for pricing, valuation, healthcare economics, and financial forecasting. In this dynamic role, you'll provide crucial actuarial support to various teams, including Network Management, Underwriting, Sales and Marketing, Finance, and Healthcare, promoting a collaborative approach to the actuarial aspects of our health programs. If you're looking to advance your career and contribute to the evolution of healthcare solutions, we would love to have you on board to help shape the future of our Medicare programs. Key Responsibilities Conduct actuarial research, experience studies, and statistical analyses. Calculate premiums and reserves for new and existing insurance plans. Assist senior analysts or actuaries as necessary. Retrieve and validate data for rate filings and actuarial models, enhance models, and analyze impacts of changes. Communicate filing updates to internal stakeholders and submit rate filings to regulatory agencies such as NCDOI and CMS. Gather and validate data for monthly reports and calculations of UCL and ALR. Support valuation by running the ALR model and confirming results. Research to assist in ALR assumption studies and UCL estimates. Distribute established reports, respond to inquiries, and investigate trends and anomalies. Execute control activities aligned with Enterprise Risk Management. Provide analytic support for both corporate and departmental projects. Participate actively in the Actuarial Development Program. Qualifications Bachelor's degree or an advanced degree (where relevant). 2+ years of relevant actuarial experience; related experience may be taken into consideration. Completion of at least 3 exams toward earning the ASA designation is required. Additional relevant experience may be considered in lieu of minimum exam requirements. Alternatively, candidates with ASA or more exams towards ASA may qualify in lieu of minimum experience requirements. Preferred Qualifications Experience in Medicare Advantage or PDP. Background in Health Reserving. Familiarity with Dual Eligible Special Needs Plans (D-SNP). What We Offer The opportunity to work at the forefront of healthcare with a team committed to community well-being. Flexible work-life balance and autonomy to excel in your role. Comprehensive medical, dental, and vision benefits along with various wellness programs. Parental leave support, including assistance for adoption and surrogacy. Access to career development programs and tuition reimbursement for further education. 401(k) matching with annual company contributions. Salary Overview At Blue Cross NC, we pride ourselves on offering a fair and competitive compensation package that aligns with the market. Our salary range is typically set near the midpoint based on experience, training, skills, certifications, and business needs. Our compensation also includes an Annual Incentive Bonus based on corporate and individual performance. Salary range: $81,068.00 - $129,708.00 Skills Required Actuarial Analysis Actuarial Modeling Actuarial Science Analytical Support Data Interpretation Financial Analysis Financial Modeling Financial Reporting and Analysis Report Compilation Reports Analysis Blue Cross and Blue Shield of North Carolina values your safety. Please be aware of fraudulent recruitment activities. Our hiring process does not involve text-based conversations and never requires payment. For inquiries about our career opportunities, please check our official website.

Created: 2026-03-06