Senior Actuarial Analyst, Pharmacy Economics (Hybrid/Remote)

Blue Cross NC; Cheyenne (WY); Hybrid; USD 98,000 - 157,000; Full time

Benefits offered by this job

401k with employer match

Paid Time Off (PTO)

Medical, dental, and vision coverage

Tuition reimbursement

Job summary

Blue Cross NC is seeking a Senior Actuarial Analyst in Pharmacy Medical Economics to translate data into actionable insights and support pharmacy strategy. The role collaborates across teams, performs trend analyses, and contributes to pricing and profitability initiatives.

The position requires a Bachelor's degree (or higher) and 4+ years of actuarial experience with progress toward ASA; SQL skills are highly preferred and strong communication is essential.

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.
• In lieu of minimum exam requirements, may consider additional relevant experience.
• In lieu of minimum experience, ASA or more exams toward ASA may be considered.

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.
• Reviews advanced data analytic methods and identifies opportunities to improve team processes.
• Participates in requirements gathering for corporate projects and serves as delegate or backup.
• Plans, implements, manages and/or contributes to projects of moderate/high complexity.
• Participates in the Actuarial Development Program.

Skills

Actuarial analysis

Financial modeling

Business analysis

Project management

Communication/storytelling

Education

Bachelor's degree or higher

5+ actuarial exams toward ASA

Tools

SQL

Job description

Blue Cross NC is seeking a Senior Actuarial Analyst in Pharmacy Medical Economics to translate data into actionable insights and support pharmacy strategy. The role collaborates across teams, performs trend analyses, and contributes to pricing and profitability initiatives.

The position requires a Bachelor's degree (or higher) and 4+ years of actuarial experience with progress toward ASA; SQL skills are highly preferred and strong communication is essential.