Senior Pharmacy Analytics Actuary (Hybrid)

Blue Cross NC; Philadelphia (Philadelphia County); Hybrid; USD 98,000 - 157,000; Full time

Job summary

Blue Cross NC is seeking a Senior Actuarial Analyst - Pharmacy Medical Economics to apply actuarial expertise to pharmacy strategy. You will collaborate across teams, transform data into actionable insights, and support a range of actuarial functions that drive informed business decisions.

You will forecast profitability, participate in pricing research, and contribute to projects of moderate to high complexity while advancing in the Actuarial Development Program.

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 eventual attainment of the ASA designation.
• In lieu of meeting minimum exam requirements, may consider additional relevant experience.

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

Project Management

Financial Modeling

Hiring Management

People Management

Risk Assessments

Valuation Analysis

Education

Bachelor's degree or advanced degree

Tools

SQL

Job description

Blue Cross NC is seeking a Senior Actuarial Analyst - Pharmacy Medical Economics to apply actuarial expertise to pharmacy strategy. You will collaborate across teams, transform data into actionable insights, and support a range of actuarial functions that drive informed business decisions.

You will forecast profitability, participate in pricing research, and contribute to projects of moderate to high complexity while advancing in the Actuarial Development Program.