Senior Actuarial Analyst, Pharmacy Analytics (Hybrid-Flex)

Blue Cross NC; Louisville (KY); Hybrid; USD 98,000 - 157,000; Full time

Benefits offered by this job

Pharmacy knowledge (Highly Preferred)

SQL (Required)

Strong communication skills

Job summary

Blue Cross NC is seeking a Senior Actuarial Analyst - Pharmacy Medical Economics to shape and support our pharmacy strategy. You will collaborate across teams to turn data into actionable insights and contribute to diverse actuarial functions that drive informed business decisions and improved performance.

The role emphasizes trend analysis, profitability monitoring, pricing research, and active participation in corporate projects within a Hybrid-Flex work model, with office presence required

Qualifications

• Bachelor's degree or advanced degree (where required).
• 4+ years of actuarial experience. Related experience may be considered.
• Must have completed 5 or more exams towards ASA.

Responsibilities

• Supports pharmacy trend and hot spot 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 the company is competitively well-positioned in a dynamic marketplace.
• Proactively reviews advanced data analytic methods and identifies opportunities to improve team processes.
• Participates in requirements gathering for and serves as delegate or backup for corporate projects.
• Plans, implements, manages and/or contributes to projects that are moderate/high complexity.
• Is a participant in good standing in the Actuarial Development Program.

Skills

Actuarial Analysis

Actuarial Consulting

Actuarial Science

Business Analysis

Complex Project Management

Financial Modeling

Hiring Management

People Management

Risk Assessments

Valuation Analysis

Education

Bachelor's degree or advanced degree

Tools

SQL

Job description

Blue Cross NC is seeking a Senior Actuarial Analyst - Pharmacy Medical Economics to shape and support our pharmacy strategy. You will collaborate across teams to turn data into actionable insights and contribute to diverse actuarial functions that drive informed business decisions and improved performance.

The role emphasizes trend analysis, profitability monitoring, pricing research, and active participation in corporate projects within a Hybrid-Flex work model, with office presence required