Actuary

• Support the identification, assessment, and management of model risk across the organization
• Ensure that models and assumptions used for pricing, reserving, capital, and risk management are appropriately governed, documented, challenged, approved, monitored, and reviewed
• Maintain and administer the company’s model governance and assumption governance frameworks in alignment with regulatory requirements and industry best practices
• Identify, assess, monitor and report on model risk within the company’s enterprise risk management framework
• Perform independent validations of actuarial and financial models
• Lead the annual review of model risk rating classifications
• Collaborate with actuarial, finance, underwriting, and risk teams to embed model risk awareness

Model Risk Actuary

• Research and develop new methods for insurance rating and loss reserving
• Prepare and coordinate analyses of rate and statistical filings for submission to regulatory and insurance agencies
• Serve as project leader for relatively complex projects and studies
• Perform GLM and other statistical techniques to enhance rating algorithms
• Provide filing support, product performance monitoring, and business insights
• Update and maintain loss cost modeling data sets

Actuarial Analyst IV, Pricing Design

• Lead quarterly and annual reserve analyses for multiple P&C lines of business.
• Evaluate reserve adequacy and analyze loss development trends.
• Prepare reserve recommendations and support statutory and management reporting.
• Collaborate with external actuaries on reserve studies, actuarial reviews, and reporting requirements.
• Partner with Claims, Underwriting, and Finance teams to identify emerging trends and assess business impacts.
• Maintain and enhance reserving models, methodologies, and supporting documentation.
• Train and mentor Financial Analysts on actuarial reserving techniques and best practices.
• Support audits, regulatory reviews, and actuarial reporting requirements.
• Identify opportunities for process improvement and automation within the reserving function.

Manager – Actuarial Reserving

• Prepare and analyze intermediate to complex data for use in actuarial experience studies, valuation, or pricing projects
• Provide significant support for development of pricing and underwriting tools and provide increasing support for helping others understand underwriting case specific issues by answering technical question
• Develop reserve factors, analyze reserves and monitor reserve changes
• Develop experience analysis reviews
• Support maintenance of valuation system
• Support preparation of financial reports, tax returns and state filings as needed
• Contribute to product development and repricing initiatives
• Begin working with product, underwriting, compliance, risk management, investments and other areas on specific initiatives; communicate project status within functional area
• Prepare intermediate to complex reports
• Demonstrate commitment to career development and growing financial acumen by pursuing actuarial credentials and membership in the Society of Actuaries
• Continuous assessment of established training and work processes to identify areas for effectiveness and efficiency improvements.
• Contributes to operating effectiveness through information sharing, suggested process improvements and effective implementation of change
• Communicate trends and issues identified and proactively recommend resolutions to management
• Work on and/or lead special projects that require actuarial research and analysis which may involve partnering with other business areas both in and out of finance.
• Maintain and continue to build on a specialized working knowledge of the company operations, systems and in the actuarial discipline
• May serve as informal leader/mentor to more junior level peers as well as training interns
• May perform other duties as assigned

Senior Actuarial Assistant, Actuarial Development Program

• Lead complex actuarial and analytical initiatives, defining scope, work plans, and execution strategies.
• Advise leadership on analytical strategy, risk assessment, and project priorities.
• Oversee and take accountability for technical work produced by project teams.
• Develop and evaluate pricing, provider reimbursement, and benefit analyses.
• Interpret complex data and trends, translating insights into clear, actionable recommendations for leadership.
• Drive quality through peer review and strong documentation.
• Partner cross-functionally to provide ongoing and ad hoc actuarial support.
• Mentor and develop junior team members.

Senior 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.

Actuarial Associate

• Use expertise in mathematics, statistics, health insurance, and business to support complex pricing, valuation, and financial forecasting.
• Lead analyses that shape pricing models, care management programs, and insurance product development.
• Turn complex data into clear, actionable recommendations that guide strategic decisions.
• Identify emerging risks and opportunities in a rapidly evolving industry.

Principal Actuary – ACA Pricing

• Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work
• Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers
• Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company
• Communicate effectively with all levels and divisions within the organization, including Divisional Leadership
• Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates
• Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor
• Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials.
• Develop measurement models for various cost savings initiatives across the company’s many strategic areas including, but not limited to clinical care management, alternative payment arrangements with providers, medical coding and policy adherence practices, and other emerging drivers of trend.

Principal Actuary, Cost of Care

• Demonstrate commitment to career development and growing financial acumen by pursuing actuarial credentials and membership in the Society of Actuaries
• Prepare and analyze intermediate level data for use in actuarial experience studies, valuation or pricing projects
• Assist in maintenance of pricing and underwriting tools and provide support for helping others understand underwriting case specific issues by answering technical questions
• Develop reserve factors
• Develop experience analysis reviews
• Assist in maintaining valuation system
• Assist in preparation of financial reports, tax returns and state filings as needed
• Learn current pricing models and risk management practices
• Contribute to product development and re-pricing initiatives
• Communicate research results to manager both in written format and orally
• Prepare routine reports
• Continuous assessment of established training and work processes to identify areas for effectiveness and efficiency improvements.
• Contribute to operating effectiveness through information sharing, suggested process improvements and effective implementation of change
• Communicate trends and issues identified and proactively recommend resolutions to management
• Work on special projects that require actuarial research and analysis which may involve partnering with other business areas both in and out of finance.
• Continuously build a specialized working knowledge of the company operations, systems and in the actuarial discipline
• May perform other duties as assigned

Actuarial Assistant, Actuarial Development Program

• Develops reporting structure, toolset and analytic strategy to support market and domain teams as well as pricing for programs and products.
• Supports the rating process by determining the need for and building actuarial model enhancements.
• Distributes established reports and responds to inquiries.
• Supports the investigation of trends and anomalies.
• Coordinate and independently develop BI content (reports, dashboards, scorecards, more complex analytic solutions) through the entire development life-cycle to provide data necessary to effectively make business decisions and measure goal attainment and overall performance.
• Share expertise with business areas to assist in understanding enterprise data content, definitions and usage and the available BI tools.
• Maintains robust knowledge of data assets and tools and supports development/maintenance of a formal Knowledge Base.
• Plans, implements, manages and/or contributes to projects that are moderate/high complexity.

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