Principal Actuary - Medicare Advantage

Job description

Job Description Blue Cross NC is seeking a Principal Actuary to join its Medicare Advantage Medical Economics team, serving as a market‑aligned thought partner to finance and health plan leadership. This role focuses on applying deep medical economics expertise and professional judgment to support market‑level decision‑making, 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, non‑technical 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, market‑specific narrative Resp...