Hybrid Pharmacy Actuarial & Contract Manager

Independence Blue Cross; United States; Hybrid; USD 110,000 - 170,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Independence Blue Cross seeks a Manager, Pharmacy Actuarial & Contract Management to drive pricing analytics and financial governance across PBM contracts. Reporting to the Director & Actuary, Rx Underwriting, you will lead actuarial staff and collaborate with Pharmacy, Finance, and Legal teams.

The role emphasizes analytical rigor, contract interpretation, and timely performance reporting to ensure pricing integrity and regulatory compliance.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or related field.
• 3-5 years actuarial, underwriting, or pharmacy financial analytics experience at a health plan or PBM.
• Experience working with complex vendor or PBM contracts and associated financial terms.
• Demonstrated experience leading projects and mentoring junior staff.
• Strong Excel and analytical modeling skills; experience with large or complex datasets.
• Ability to communicate complex financial and contractual concepts to non-technical stakeholders.

Responsibilities

• Participate in PBM market checks, vendor evaluations, and RFP financial assessments.
• Monitor PBM financial performance, including rebate economics, guarantees, and discount performance against contractual terms.
• Develop and maintain financial tracking tools of downstream contracts to ensure contractual terms are reflected in pricing analyses and performance reporting.
• Partner with Pharmacy, Finance, and Legal teams to interpret contract language and translate financial terms into operational assumptions.
• Support reconciliation and validation of rebate payments, guarantees, and other contractual settlements.
• Identify financial risks, variances, or potential compliance issues related to pharmacy contracts and elevate with clear analysis and recommendations.
• Assist the Director & Actuary with financial analyses supporting contract renewals, amendments, or renegotiations.
• Lead, coach, and develop actuarial and analytical staff; build relationships with Pharmacy, Finance, and Legal partners to ensure alignment.

Skills

Leadership

Communication

Analytical thinking

Mentoring

Education

Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or related field

Tools

Excel

Job description

Independence Blue Cross seeks a Manager, Pharmacy Actuarial & Contract Management to drive pricing analytics and financial governance across PBM contracts. Reporting to the Director & Actuary, Rx Underwriting, you will lead actuarial staff and collaborate with Pharmacy, Finance, and Legal teams.

The role emphasizes analytical rigor, contract interpretation, and timely performance reporting to ensure pricing integrity and regulatory compliance.