Senior Actuarial Analyst - Pharmacy Medical Economics

Blue Cross and Blue Shield of North Carolina•Remote Flex - North Carolina, IN
•$98,092 - $156,947•Hybrid

About The Position

Join the Pharmacy Analytics team as a Senior Actuarial Analyst supporting Pharmacy Medical Economics. The role uses actuarial and analytical expertise to help shape and support pharmacy strategy, collaborate across teams, turn data into actionable insights, and contribute to actuarial functions that inform business decisions and improve performance. The position supports pharmacy trend and hot spot analysis, evaluates moderately complex trends, monitors and forecasts pharmacy profitability, and provides actuarial support for corporate pharmacy initiatives. It also conducts pricing research, monitors industry news, reviews advanced analytical methods, and contributes to departmental and corporate projects of moderate to high complexity. This position is described as Hybrid Flex or Remote Flex depending on the nature of the work and distance from the Durham headquarters. Hybrid Flex roles require at least two days a week in the office; Remote Flex roles work virtually with a few office visits each year. Onsite expectations are discussed during the interview process.

Requirements

  • Bachelor's degree or advanced degree where required.
  • At least 4 years of relevant actuarial experience; related experience may be considered.
  • Completion of 5 or more exams toward eventual attainment of the ASA designation. Additional relevant experience may be considered in lieu of the minimum exam requirements.
  • ASA or more exams toward eventual attainment of ASA may be considered in lieu of the minimum experience requirement.
  • SQL is required.

Nice To Haves

  • Pharmacy healthcare knowledge is highly preferred.
  • Strong communication and storytelling abilities.

Responsibilities

  • Support pharmacy trend and hot spot analysis.
  • Evaluate moderately complex trend analysis.
  • Monitor and forecast pharmacy profitability.
  • Provide actuarial support for corporate pharmacy initiatives.
  • Perform pricing research projects, including experience and trend analyses, book of business studies, and vendor analyses.
  • Monitor industry news and help ensure the company is competitively positioned in a dynamic marketplace.
  • Review advanced data analytic methods and identify opportunities to improve team processes.
  • Participate in requirements gathering and serve as a delegate or backup for corporate projects.
  • Generate ideas and analytical approaches for departmental projects.
  • Plan, implement, manage, and/or contribute to projects of moderate to high complexity.
  • Participate in good standing in the Actuarial Development Program.

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Health and wellness programs
  • Parental leave and support
  • Adoption and surrogacy assistance
  • Career development programs
  • Tuition reimbursement for continued education
  • 401(k) match, including an annual company contribution
  • Annual incentive bonus
  • Paid time off (PTO)
  • Work-life balance, flexibility, and autonomy
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