Senior Actuarial Analyst - Pharmacy Medical Economics

NC Health Affiliates; United States; Hybrid; USD 98,000 - 157,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401k with company match

Paid time off

Parental leave and surrogacy/adoption:

Tuition reimbursement

Wellness programs

Job summary

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

The role involves trend analysis, profitability forecasting, pricing research, and participation in corporate projects. A strong actuarial background and SQL skills are highly valued.

Qualifications

• 4+ years actuarial experience in relevant fields.
• Completed 5+ exams toward ASA or ASA progress considered.
• In lieu of exams, related experience 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, vendor analyses, etc.
• Monitors industry news to keep Blue Cross NC competitively positioned.
• Reviews advanced data analytic methods to improve processes.
• Participates in requirements gathering for corporate projects as delegate or backup.
• Plans and contributes to moderate/high complexity projects.
• Participates in 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 actuarial degree

Tools

SQL

Job description

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.
• Career development programs and tuition reimbursement for continued education.
• 401k match including an annual company contribution.
• Learn more

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