Remote New

Principal Actuary - Medicare Advantage

Blue Cross and Blue Shield of North Carolina
$118,691.00 - $189,906.00
parental leave, paid time off, tuition reimbursement, 401(k)
United States, Arkansas
Apr 16, 2026
Job Description Blue Cross NC is seeking a Principal Actuary to join its Medicare Advantage Medical Economics team, serving as a marketaligned thought partner to finance and health plan leadership. This role focuses on applying deep medical economics expertise and professional judgment to support marketlevel decisionmaking, ensuring leaders have a clear, credible understanding of medical cost performance and outlook. The ideal candidate brings strong analytical rigor, strategic perspective, and the ability to communicate complex concepts clearly to senior, nontechnical stakeholders. Leadership responsibilities may be assigned, particularly for designated projects. What You'll Do Synthesize cost, utilization, mix, and unit cost dynamics to identify emerging risks and opportunities impacting market and segment financial performance Translate complex medical cost dynamics into implications and recommendations that directly inform market strategy, pricing, and financial planning Proactively identify, size, and frame cost management opportunities using rigorous, transparent analytics Integrate insights across medical economics domains into a cohesive, marketspecific narrative Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries) Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation What You Bring Bachelor's degree or advanced degree (where required) Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries (MAAA) 5+ years of experience in related field In lieu of an ASA, alternate actuarial credentials may be considered. In lieu of 5 years of experience, may consider candidates who are Fellows of the Society of Actuaries (FSA). Bonus Points Deep experience in medical cost trend development, forecasting, and decomposition for Medicare Advantage or closely related lines of business- Highly Preferred Demonstrated ability to build and defend marketspecific trend assumptions that withstand executive and financial scrutiny - Highly Preferred Expert-level knowledge of SQL and advanced Excel Strong critical thinking and creative problem-solving skills. What You'll Get The opportunity to work at thecutting edgeof health care delivery with a teamthat'sdeeply invested in the community. Work-life balance, flexibility, and the autonomy to dogreat work Medical, dental, and vision coverage along withnumeroushealth and wellness programs. Parental leave and support plus adoption and surrogacyassistance 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. $118,691.00 - $189,906.00 Skills Actuarial Analysis, Actuarial Modeling, Actuarial Science, Actuarial Services, Benefits Analysis, Budgeting, Complex Project Management, Financial Analysis, Healthcare Management, Office Administration, People Management, Pharmacy, Provider Services, Requirements Management, Support Services, Underwriting Management _____________________________________________________________________ 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.