← Back to Jobs
Posted May 30, 2026

Consulting Actuary – ACA Risk Adjustment

Job Description: • 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 Requirements: • Bachelor's degree or advanced degree (where required) • Member of the American Academy of Actuaries • Fellow of the Society of Actuaries • 7 years of relevant actuarial experience, related experience may be considered. • In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience. • Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial impact analysis - Highly Preferred • Proven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior leadership - Highly Preferred • Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their impact on risk adjustment outcomes. • Advanced analytical skills to identify risk adjustment leakage, emerging risks, and optimization opportunities across ACA populations. Benefits: • Medical, dental, and vision coverage along with numerous health and wellness programs. • Parental leave and support plus adoption and surrogacy assistance. • Career development programs and tuition reimbursement for continued education. • 401k match including an annual company contribution