Pharmacy Economics Senior Actuarial Analyst (Hybrid/Remote)

Blue Cross and Blue Shield of North Carolina; Pennsylvania; Hybrid; USD 98,000 - 157,000; Full time

Job summary

Blue Cross NC is seeking a Senior Actuarial Analyst in Pharmacy Medical Economics to shape pharmacy strategy through actuarial analysis and cross-team collaboration. You will turn data into actionable insights and support diverse actuarial functions to improve performance.

The role involves trend analysis, profitability forecasting, pricing research, and participation in corporate projects. Hybrid Flex work with remote options and Durham HQ presence may be required.

Qualifications

• Bachelor's degree or advanced degree required.
• 4+ years actuarial experience; related experience considered.
• Must have completed 5 or more ASA exams toward ASA.
• In lieu of minimum exams or experience, other relevant qualifications may be considered.

Responsibilities

• Supports pharmacy trend and hotspot analysis.
• Evaluates moderately complex trend analysis.
• Monitors and forecasts pharmacy profitability.
• Provides actuarial support for corporate pharmacy initiatives.
• Performs pricing research projects, including experience and trend analyses, book of business studies, vendor analyses, etc.
• Monitors industry news and ensures competitive positioning.
• Reviews advanced data analytic methods and improves team processes.
• Participates in requirements gathering; acts as delegate for projects.
• Plans, implements, manages and/or contributes to moderate/high complexity projects.
• Participant in Actuarial Development Program.

Skills

Actuarial Analysis

Actuarial Consulting

Actuarial Science

Business Analysis

Project Management

Financial Modeling

Hiring Management

People Management

Risk Assessments

Valuation Analysis

SQL

Education

Bachelor's degree or advanced degree

Tools

SQL

Job description

Blue Cross NC is seeking a Senior Actuarial Analyst in Pharmacy Medical Economics to shape pharmacy strategy through actuarial analysis and cross-team collaboration. You will turn data into actionable insights and support diverse actuarial functions to improve performance.

The role involves trend analysis, profitability forecasting, pricing research, and participation in corporate projects. Hybrid Flex work with remote options and Durham HQ presence may be required.