Senior Pharmacy Analytics Actuary – Strategic Insights

Blue Cross NC; Kansas City (MO); Hybrid; USD 98,000 - 157,000; Full time

Benefits offered by this job

401k match

Paid Time Off

Health benefits

Tuition reimbursement

Parental leave and support

Job summary

Blue Cross NC is recruiting a Senior Actuarial Analyst for Pharmacy Medical Economics to apply actuarial and analytical skills to support pharmacy strategy and profitability. The role collaborates across teams, drives data-driven insights, and participates in pricing research, trend analyses, and corporate initiatives within a hybrid-flex work model.

The ideal candidate has 4+ years actuarial experience, a Bachelor's or higher, and progress toward ASA with 5+ exams completed; SQL expertise is

Qualifications

• Bachelor's degree or advanced degree (where required).
• 4+ years of actuarial experience. Related experience may be considered.
• Must have completed 5+ exams toward ASA.
• In lieu of minimum exams/experience, ASA or more exams 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 to keep the company competitively positioned.
• Reviews advanced data analytic methods and identifies process improvements.
• Participates in requirements gathering for corporate projects; generates ideas and analytical approaches.
• Plans, implements and manages projects of moderate/high complexity.
• Is a participant 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

SQL

Education

Bachelor's degree or higher

Tools

SQL

Job description

Blue Cross NC is recruiting a Senior Actuarial Analyst for Pharmacy Medical Economics to apply actuarial and analytical skills to support pharmacy strategy and profitability. The role collaborates across teams, drives data-driven insights, and participates in pricing research, trend analyses, and corporate initiatives within a hybrid-flex work model.

The ideal candidate has 4+ years actuarial experience, a Bachelor's or higher, and progress toward ASA with 5+ exams completed; SQL expertise is