Pharmacy Actuary: Strategic Forecasting & Pricing

Blue Cross & Blue Shield of Rhode Island; United States; Hybrid; USD 116,900 - 187,100; Full time

Benefits offered by this job

Flexible work arrangements

Health, dental, and vision insurance

Tuition reimbursement

Bonus programs

Job summary

Blue Cross & Blue Shield of Rhode Island seeks an actuarial professional to support pricing, forecasting, and pharmacy benefit management initiatives. This highly visible role analyzes pharmacy claims experience, drug utilization, cost trends, and financial performance to inform pricing, product strategy, and forecasting.

Ideal candidates hold a math/economics degree, ASA designation, and 3–5 years actuarial experience, with strong analytical and communication skills for cross‑functional

Qualifications

• Bachelor’s degree in Mathematics, Economics, or related field.
• Three to five years actuarial experience.
• ASA Society of Actuaries designation.
• Ability to interpret and perform forecasting, modeling and trend analysis.

Responsibilities

• Monitor, analyze, and report on rating formula effectiveness; perform financial forecasting and trend analysis.
• Develop statistical and actuarial models for rate and reserve analysis.
• Design and write programs to extract data from databases and analyze health insurance data.
• Prepare regulatory reporting requirements.
• Participate in department initiatives and projects.
• Perform other duties as assigned.

Skills

Actuarial analysis

Forecasting

Statistical modeling

Data interpretation

Communication skills

Problem solving

Presentation skills

Negotiation

Organizational skills

Education

Bachelor's degree in Mathematics, Economics, or related field

ASA designation

Job description

Blue Cross & Blue Shield of Rhode Island seeks an actuarial professional to support pricing, forecasting, and pharmacy benefit management initiatives. This highly visible role analyzes pharmacy claims experience, drug utilization, cost trends, and financial performance to inform pricing, product strategy, and forecasting.

Ideal candidates hold a math/economics degree, ASA designation, and 3–5 years actuarial experience, with strong analytical and communication skills for cross‑functional