Actuary

Blue Cross & Blue Shield of Rhode Island•US Remote, RI

3d•$116,900 - $187,100•Hybrid

About The Position

The Actuary will support a broad range of actuarial and financial functions related to BCBSRI's pharmacy benefit programs. This highly visible role requires extensive analysis of pharmacy claims experience, drug utilization, cost trends, and financial performance to support pricing, forecasting, product strategy, and pharmacy benefit management initiatives.

Requirements

Bachelor’s degree in Mathematics, Economics, or related field, or an equivalent combination of education and experience
Three to five years actuarial experience
ASA Society of Actuaries designation
Ability to interpret and perform financial forecasting, statistical modeling, and trend analysis
Advanced analytical skills, with the ability to interpret and synthesize complex data sets
Good business acumen and political savvy
Knowledge of business process improvement techniques and strategies
Excellent verbal and written communications skills
Negotiation skills
Presentation skills
Decision-making skills
Good problem solving skills
Ability to interface with employees at all levels
Ability to effectively navigate ambiguous situations with limited direction
Excellent organizational skills and ability to successfully prioritize multiple tasks
Ability to handle multiple priorities/projects

Nice To Haves

Experience in the health insurance industry

Responsibilities

Monitor, analyze, and report on the effectiveness of the existing rating formula.
Perform financial forecasting and trend analysis.
Develop statistical and actuarial models to assist in the analysis of rate and reserve adequacy.
Evaluate corporate loss reserves.
Design and write computer programs to extract data from various databases.
Extract and analyze claims, enrollment, and general health insurance data.
Prepare regulatory reporting requirements.
Participate in department initiatives and projects.
Perform other duties as assigned.