Actuarial Associate - Pharmacy

Job Description

Are you passionate about leveraging data and analytics to improve healthcare affordability and outcomes? As an Actuarial Associate on our Pharmacy team, you will work alongside experienced actuaries to analyze pharmacy trends, evaluate financial performance, and support strategic decision-making that impacts members and the organization.
In this role, you will apply your knowledge of mathematics, statistics, and actuarial principles to support pharmacy pricing, forecasting, valuation, and healthcare economics initiatives. You'll gain exposure to complex pharmacy data and collaborate with cross-functional partners across Pharmacy, Finance, Underwriting, Healthcare Analytics, and Network Management to develop insights and solutions that help manage pharmacy costs and improve member value.
This is an excellent opportunity for an analytical and detail-oriented professional seeking to build a career in healthcare actuarial science while contributing to innovative pharmacy programs and strategies.

What You’ll Do

• Analyzes financial, statistical and mathematical data and performs actuarial calculations.

• May assist in the determination of pricing, reserves and/or cash flow projections.

• Assists in performing rate studies used in determining rate adequacy.

• Assists in actuarial research, experience studies, and statistical analyses and calculations.

• Provides support to senior analysts or actuaries as required.

• Retrieves and validates data for rate filings and actuarial models.  Assists senior staff in the building of model enhancements and determines reasons for changes to calculated factors. 

• Distributes established reports and responds to inquiries. 

• Investigates trends and anomalies.

• Supports Enterprise Risk Management.

• Provides analytic support for corporate and departmental projects.

• Is a participant in good standing in the Actuarial Development Program

What You Bring

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

• 0-2 years of experience in related field

• Enrolled in the actuarial student program and is committed to completing the Society of Actuaries education system courses necessary to attain the ASA designation.

Bonus Points

• Previous Pharmacy experience a plus

• SQL, SAS, Python experience highly preferred

What You’ll Get

• The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community.

• Work-life balance, flexibility, and the autonomy to do great work   

• Medical, dental, and vision coverage along with numerous health and wellness programs.

• Parental leave and support plus adoption and surrogacy assistance   

• Career development programs and tuition reimbursement for continued education  

• 401k match including an annual company contribution 

• Learn more   

Where You’ll Work 

Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused. 

In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter. 

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process. 

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.
 

$66,998.00 - $107,197.00

Skills

_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected].