Staff Actuary - Healthcare Division Support

Job DescriptionThe Actuarial Department at Blue Cross Blue Shield of North Carolina (BCBSNC) is looking for motivated actuaries interested in transforming the healthcare delivery system to join our talented team on our Durham, North Carolina campus. Actuaries desiring the opportunity to collaborate with providers, health systems and other industry stakeholders to ensure better quality and more affordable care for our members will be a great fit for this role. This role will be highly visible across the company and will be responsible for leading projects to support the company mission and vision to serve North Carolinian s health care needs. Serves as senior level Actuarial Services point of contact for Healthcare Division, including Network Management & Transformation, Corporate Pharmacy, Care Management Operations, and Medical Economics Actively contributes to the success of the Actuarial Services team. Responsible for supervising or handling highly complex actuarial modeling. Consults with client base and is viewed as an expert in the field. Leads and/or provides consultative support to assigned projects. Makes presentations and/or presents findings to key constituents. Responsible for enterprise actuarial functions including, but not limited to: o Medical and Pharmacy Trend analysis o Experience Studies o Provider network design and analysis o Value-based provider contract evaluations o Accountable Care Organization (ACO) development and implementation o Impact of internal and vendor led medical expense programs o Product innovation and pricing Responsible for Actuarial support to the following divisions: o Healthcare Services o Sales, Marketing, and Communication o Finance o Legal, Compliance, and Government Affairs o Diversified Markets and Strategy Continuing Education o Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries) o Prepares for and sits for examinations given by the Society Of Actuaries, if necessary Has ability to supervise staff with authority to hire and fire. If in a leadership position, provides guidance, feedback, development and direction to staff and develops and manages a high performing team. Manages their staff members, who are participants in the Actuarial Development Program, to ensure they meet the ADP goals. Hiring Requirements Bachelor s degree Seven years of actuarial experience is required. FSA, MAAA Note: a candidate with ASA and MAAA with at least 9 years of relevant actuarial experience may also be considered. Hiring Preferences Experience leading projects or teams, and with provider network and medical expense program evaluations and value based contracting or Accountable Care Organization (ACO) development Strong analytical skills Strong people skills and the ability to be resourceful, as well as to make concise, independent and defensible decisions Strong organizational skills, which allow the ability to function in an environment of multiple projects and deadlines Strong communication skills Strong skill set in the following applications: Microsoft Excel, Word, Visual Basic, and PowerPoint Company DescriptionIt's an exciting time to work at Blue Cross and Blue Shield of North Carolina. Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We are committed to better health and better health care in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.Our company is a not-for-profit with headquarters in Durham and major operations in Winston-Salem and Fayetteville. In all we employ more than 4,500 North Carolinians and serve more than 3.7 million customers.Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.