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Principal Actuary - Pharmacy Analytics

NC Health Affiliates LLC DBA Blue Cross NC
Carolina, NC Remote Full Time
POSTED ON 1/29/2025 CLOSED ON 3/28/2025

What are the responsibilities and job description for the Principal Actuary - Pharmacy Analytics position at NC Health Affiliates LLC DBA Blue Cross NC?

Job Description

Join us as a Principal Actuary, where your expertise in actuarial science and pharmacy analytics will drive our strategic initiatives. In this role, you'll leverage your analytical skills to support all actuarial functions related to our Pharmacy strategy. As a seasoned professional, you'll collaborate with team members, stakeholders, and other actuarial departments to achieve our goals. Additionally, you may lead specific projects, guiding and mentoring team members to success.
If you're passionate about making a significant impact in the field of pharmacy analytics, we want to hear from you!

  • Actively contributes to the success of the Actuarial Services team.

  • Responsible for handling highly complex actuarial modeling.

  • Leads and/or provides consultative support to assigned projects and is viewed as an expert in the field.

  • Assists in pharmacy pricing for all commercial segments

  • Develop/Maintain self-funded pharmacy pricing model. Works within team to model updates and coordinates implementation with underwriting.

  • Perform Pharmacy Trend analysis

  • Communicates and collaborates effectively with key pharmacy stakeholders on relevant pharmacy topics

  • Assists in support for Financial Forecasting

  • Support evaluation of financial impacts of PBM and other vendors

  • Works effectively with external vendors, including PBM partner contacts

  • Continuing Education

  • Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries)

  • Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation

Hiring Requirements

  • Bachelor's degree or advanced degree (where required)

  • Member of the American Academy of Actuaries

  • 5 years of experience in related field

  • In lieu of an ASA, alternate actuarial credentials may be considered.

  • In lieu of 5 years of experience, may consider candidates who are Fellows of the Society of Actuaries (FSA).

Nice to haves

  • Experience with Pharmacy Analytics is strongly preferred

  • Advanced skills in SQL

  • Advanced Analytical Problem-Solving Skills

  • Strong Communication Skills

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.
 

$105,600.00 - $191,800.00

Salary : $105,600 - $191,800

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