Senior Actuarial Analyst, Pharmacy Economics & Insights

Blue Cross NC; Nashville (TN); Hybrid; USD 98,000 - 157,000; Full time

Benefits offered by this job

Health, dental and vision coverage

401k with employer match

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. You will analyze trends, profitability, and pricing, collaborating across teams and contributing to multiple actuarial functions.

The role requires 4+ years of actuarial experience and progress toward ASA, with SQL proficiency. Hybrid-flex work arrangements and comprehensive benefits are offered.

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 the ASA designation.

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.
• Generates ideas and analytical approaches for Departmental 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

ASA exam progress (5+ exams)

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. You will analyze trends, profitability, and pricing, collaborating across teams and contributing to multiple actuarial functions.

The role requires 4+ years of actuarial experience and progress toward ASA, with SQL proficiency. Hybrid-flex work arrangements and comprehensive benefits are offered.