Consulting Actuary - Medicare Risk Adjustment
Medicare AdvantageProduct Development & Plan DesignPredictive Modelling & MLRisk Management, ERM & ORSA
Role Summary
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Senior health actuarial role focused on Medicare Advantage risk adjustment at Blue Cross NC. You’ll lead complex actuarial projects, advise leadership, and shape pricing, product design, and care management analytics. This role requires an FSA (or ASA with extensive experience) and is based in North Carolina, USA.
JOB DESCRIPTION SUMMARY
- Lead complex actuarial projects for Medicare Advantage risk adjustment
- Advise divisional leadership and act as a strategic financial steward
- Design products, optimize pricing, and evaluate care management models
- Manage external partnerships with vendors, auditors, regulators, and providers
- Senior role requiring FSA or ASA with substantial experience
DOMAIN EXPERTISE
- No domain expertise specified
KEY REQUIREMENTS
- 7+ years of relevant actuarial experience
- Fellow of the Society of Actuaries (FSA) required
- Member of the American Academy of Actuaries
- Ability to lead complex actuarial or analytical projects
- Experience managing external partnerships with vendors and regulators
TECH STACK
- No tech stack specified