Senior Actuarial Analyst - Pharmacy Medical Economics

Blue Cross and Blue Shield of North Carolina; Pennsylvania; Hybride; USD 98 000 - 157 000; Plein temps

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

Actuarial Analysis

Actuarial Consulting

Actuarial Science

Business Analysis

Project Management

Financial Modeling

Hiring Management

People Management

Risk Assessments

Valuation Analysis

SQL

Formation

Bachelor's degree or advanced degree

Outils

SQL

Description du poste

Job Description

Join our Pharmacy Analytics team as a Senior Actuarial Analyst - Pharmacy Medical Economics, where you'll use your actuarial and analytical expertise to help shape and support our pharmacy strategy. You'll collaborate across teams, turn data into actionable insights, and contribute to a variety of actuarial functions that help drive informed business decisions and improve performance.

What You'll Do

• 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.
  

What You Bring

• Bachelor's degree or advanced degree (where required)
• 4+ years of experience in relevant actuarial experience. Related experience may be considered.
• Must have completed 5 or more exams towards the eventual attainment of the ASA designation.
• In lieu of meeting minimum exam requirements, may consider additional relevant experience.
• In lieu of meeting minimum experience requirement, may consider ASA or more exams towards the eventual attainment of ASA.

Bonus Points

• Pharmacy Healthcare knowledge - Highly Preferred
• SQL (required)
• Strong communication/storytelling abilities

What You'll Get

• The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community.
• Work-life balance, flexibility, and the autonomy to do great work.
• Medical, dental, and vision coverage along with numerous health and wellness programs.
  Parental leave and support plus adoption and surrogacy assistance.

• 401k match including an annual company contribution.

Where You'll Work

Our Hybrid Flex approach is built on presence with a purpose - giving you flexibility to work remotely with intentional in‑person connection - that supports a workplace that's flexible, connected, and future focused.

In a Hybrid‑Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in‑office visits each year for meaningful moments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$98,092.00 - $156,947.00

Skills

Actuarial Analysis, Actuarial Consulting, Actuarial Science, Business Analysis, Complex Project Management, Financial Modeling, Hiring Management, People Management, Risk Assessments, Valuation Analysis