Senior Actuary - Pharmacy

Cambia Health Solutions•Washington, DC

3d•$139,000 - $253,000•Hybrid

About The Position

The Senior Actuary – Pharmacy manages and performs technical, analytical, reporting, and support functions within the Actuarial team. The role collaborates with peers, management, and customers to help the Actuarial and Healthcare Informatics departments and Cambia meet market and financial goals, supporting a person-focused and economically sustainable health care system. The position drives strategic projects and influences cross-functional workgroups and key initiatives as an actuarial representative. It contributes to knowledge-sharing and team development, develops methodologies, recommends methodology, assumption, or process improvements, and performs actuarial certification duties. The Senior Actuary communicates complex messages to all organizational levels and customers, develops and reviews written responses to complex regulator or customer questions, manages complex team projects, coaches and mentors junior staff and interns, and performs peer reviews in accordance with quality assurance standards and applicable Actuarial Standards of Practice. This is a hybrid role requiring three days per week in the office. The listed office locations are Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Springdale, and Little Rock. Preference is given to current employees and candidates within commuting distance of specified offices or willing to relocate. Travel may be required, locally or out of state, and work outside normal business hours may be required.

Requirements

Bachelor's degree in mathematics, actuarial science, statistics, economics, computer science, or a related discipline, with at least eight years of increasingly responsible actuarial job experience, or an equivalent combination of education and experience.
Associate (ASA) or Fellow (FSA) of the Society of Actuaries.
Demonstrated actuarial experience in health insurance pricing, valuation, financial reporting, cost analysis, and/or provider analytics.
Expert knowledge of insurance company functions, operations, and data.
Ability to apply sound professional judgment in ambiguous situations.
Ability to represent the Division as a leadership presence in external meetings with vendors, business partners, or regulators and in internal cross-functional meetings.
Ability to work independently and in teams on complex projects with significant risk and financial impacts.
Demonstrated project management experience.
Technology expertise with Microsoft Office Suite and coding, such as SQL, SAS, or Alteryx.
Ability to travel locally or out of state as required and work outside normal business hours as required.

Nice To Haves

Fellowship in the Society of Actuaries (FSA); Associate-level qualification (ASA) is stated as the required credential, with FSA preferred.
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings.

Responsibilities

Drive strategic company projects and influence cross-functional workgroups and key initiatives as an actuarial representative.
Share knowledge and contribute to team development; develop new methodologies and recommend methodology, assumptions, or process improvements to team management.
Perform actuarial certification duties.
Deliver complex messages to all organizational levels and customers, and develop and review written responses to complex regulator or customer questions.
Manage complex team projects, coach team members, develop workplans, and ensure documentation is developed and maintained.
Mentor junior staff and interns.
Peer review regular and ad hoc work products in accordance with department and team quality assurance standards.
Understand the risk level of work products and ensure compliance with applicable Actuarial Standards of Practice.
Perform technical, analytical, reporting, and support functions in collaboration with peers, management, and customers.

Benefits

Competitive base pay and bonus opportunities; bonus target is 18%.
401(k) retirement plan with a significant company match and potential discretionary contribution based on company performance, with no vesting period.
Medical, dental, and vision coverage for employees and eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Paid time off that varies by role and tenure, in addition to 10 company-paid holidays.
Up to 12 weeks of paid parental time off, subject to eligibility requirements.
Wellness programs with rewards for participation.
Employee Assistance Fund.
Commute and parking benefits.
Work-from-home options for most roles, subject to wired internet connection and speed requirements.
Employee resource groups and opportunities to participate in company-supported community outreach programs.