Senior Actuarial Analyst, Pharmacy Analytics (Hybrid/Remote)

Blue Cross NC; Milwaukee (WI); Hybrid; USD 98,000 - 157,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) with employer match

Paid time off (PTO)

Job summary

Blue Cross NC is seeking a Senior Actuarial Analyst in Pharmacy Medical Economics. You will apply actuarial expertise to support pharmacy strategy, collaborate across teams, and turn data into actionable insights to improve performance.

The role emphasizes trend analysis, profitability forecasting, pricing research, and stakeholder communication. Hybrid-Flex work model offered with opportunities across corporate initiatives.

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 positioned.
• Reviews advanced data analytic methods and identifies process improvements.
• Participates in requirements gathering for corporate projects and acts as delegate or backup.
• Plans and manages projects of moderate/high complexity.
• Participates in Actuarial Development Program.

Skills

SQL

Actuarial analysis

Actuarial science

Business analysis

Complex project management

Financial modeling

People management

Education

Bachelor's degree or higher

Job description

Blue Cross NC is seeking a Senior Actuarial Analyst in Pharmacy Medical Economics. You will apply actuarial expertise to support pharmacy strategy, collaborate across teams, and turn data into actionable insights to improve performance.

The role emphasizes trend analysis, profitability forecasting, pricing research, and stakeholder communication. Hybrid-Flex work model offered with opportunities across corporate initiatives.