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发帖数: 121 | 1 Managing Actuary
The 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 a team of three actuarial professionals to support
the company mission and vision to serve North Carolinian’s health care
needs.
• Provides strategic direction as Actuarial Services management point
of contact for Healthcare Division, including Network Management &
Transformation, Corporate Pharmacy, Care Management Operations, and Medical
Economics
• Actively contributes to the overall management and success of the
Actuarial, Analytics, and Underwriting Division as a member of the Actuarial
Services management team.
• Responsible for the delivery of actuarial projects from start to
finish, including managing quality and timeliness.
• Manages the preparation and interpretation of actuarial information,
studies, and modeling to management, including communication and
recommendations.
• Makes presentations and or presents findings and recommendations to
key constituents, including senior management.
• Provide expert guidance to support the creation of systems
specifications, contracts, , and other actuarial aspects of product
development.
• Monitors and analyzes developments in actuarial techniques, laws and
regulations applicable to company operations and communicates implications
and recommendations to impacted areas.
• Represents the company on industry and professional committees and/
or with regulators.
• Responsible for communicating with and managing the actuarial
relationship with the NCDOI, CMS, and external auditors.
• Manages/supports Financial Planning and Forecasting.
• 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
• Supervise staff with authority to hire and fire, Provides guidance,
feedback, development and direction to staff. Develops and manages a high
performing team.
• Manages their staff members, who are participants in the Actuarial
Development Program (ADP), to ensure they meet the ADP goals.
• Responsible for maintaining continuing education requirements as set
by the appropriate Actuarial governing body (i.e. Society of Actuaries)
Hiring Requirements
• Bachelor’s degree
• Eight years of relevant actuarial experience
• Two years leadership experience
• FSA, MAAA
Hiring Preferences
• Ten years of relevant actuarial experience, including provider
network and medical expense program evaluations and value based contracting
or Accountable Care Organization (ACO) development
• Strong leadership skills, including the ability to successfully
manage a high performing team
• Strong analytical skills
• Strong verbal, written and presentation skills, including the
ability to work well with all levels of management in the company
• People skills and the ability to be resourceful, as well as to make
concise, independent and defensible decisions
• Organizational skills, which allow the ability to function in an
environment of multiple projects and deadlines
• Ability to develop effective working relationships with internal/
external customers
• Skill set in Microsoft PowerPoint, Excel, and Word
Staff Actuary
The 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
• Experience with data retrieval applications (i.e., Business Object,
SQL)
Actuarial Analyst
The Actuarial & Underwriting Department at Blue Cross Blue Shield of North
Carolina (BCBSNC) is looking for motivated actuaries to join our talented
team on our Durham, North Carolina campus. Individuals who have shown a
commitment to obtaining professional designations as an actuary and are
looking to grow their careers in a dynamic work environment and changing
industry will find a great match with us. Our actuaries are highly visible
across the company and regularly work on projects to support the company
mission and vision to serve North Carolinian’s health care needs.
In this role, you will also be eligible for our Actuarial Development
Program. This program’s benefits include:
• Paid company study time to prepare for Actuarial examinations
• Reimbursement for exam fees and preparation materials
• Financial incentives for passing exams and obtaining Actuarial
professional designations
• Support of continuing education required to maintain designations
and learn about the broader insurance industry
• A defined job ladder to allow for regular career progression
• A competency toolkit to enable leaders to have productive
conversations on the development of their employees
Additionally, the BCBSNC Actuarial Services department encourages a
collaborative culture. This is achieved by offering participants the
opportunity to serve on cross-functional workgroups that span multiple teams
. These workgroups allow actuaries early in their career the chance to gain
exposure to multiple areas of the department. Furthermore, BCBSNC supports a
flexible work environment that includes an open floor plan, study rooms for
exam preparation, and options to work from home part-time for qualified
team members.
We believe our program benefits and culture combined make BCBSNC an
excellent place to begin and maintain a career as an actuary.
• Analyzes financial, statistical and mathematical data and performs
actuarial calculations.
• May assist in the determination of pricing, reserves and/or cash
flow projections.
• Assists in performing rate studies used in determining rate adequacy.
• Assists in actuarial research, experience studies, and statistical
analyses and calculations.
• Provides support to senior analysts or actuaries as required.
• Retrieves and validates data for rate filings and actuarial models.
Assists senior staff in the building of model enhancements and determines
reasons for changes to calculated factors.
• Distributes established reports and responds to inquiries.
• Investigates trends and anomalies.
• Supports Enterprise Risk Management.
• Provides analytic support for corporate and departmental projects.
• Is a participant in good standing in the Actuarial Development
Program
Hiring Requirements
• Bachelor’s degree
• Has completed one actuarial exam or is on track to do so.
The incumbent is in the actuarial student program and is committed to
completing the Society of Actuaries education system courses necessary to
attain the ASA designation.
Hiring Preferences
• A degree in actuarial science, mathematics, economics, accounting or
other relevant field is preferred.
• One year work experience.
• Good analytical and decision-making skills
• Good communication skills
• Exposure to Microsoft Excel and Word, Visual Basic, exposure to data
retrieval software
• Strong desire to attain their FSA | j******6
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