Actuarial Director (Pharmacy)

Location: This position is full-time Monday-Friday in a typical office environment. This role is located onsite at 4101 Percival Road, Columbia, SC 29229. 

Position Purpose: Lead the execution of strategy and provide operational direction for actuarial initiatives within the Pharmacy line of business. Drive development of models, pricing strategies, and risk assessments to support organizational objectives and influence key business decisions.

What You'll Do:

• Directs and provides leadership support for line of business by setting and guiding actuarial initiatives. Ensures compliance with regulatory requirements and actuarial standards.

• Designs and prepares actuarial reports. Conducts risk assessments needed to meet financial objectives.

• Develops pricing for new benefits, models financial impacts of alternative rating arrangements, and prepares the corporate financial plan and multi-year forecast.

• Responsible for hiring and maintaining staff, which includes interviewing and selection of personnel, completing performance reviews, counseling staff, and other administrative matters. Develops professional staff by identifying and coordinating training needs. Performs other special projects and AD HOC analyses as requested.

This role will be dedicated to Pharmacy, so the preferred experience is someone who has worked in this area and has the necessary expertise to: 

• Provide actuarial support for pharmacy initiatives and RFPs.

• Collaborate effectively with LOB leadership, managed care teams, PBM actuaries, and other vendors.

• Deliver actionable insights that improve financial performance and forecasting capabilities.

This role will also be responsible for estimating and reporting rebates and will need to build the necessary relationships with the PBMs, Pharmacy Contracting, and Finance to achieve this.

To Qualify For This Position, You'll Need The Following:

• Required Education: Bachelor's degree in actuarial science, Mathematics, Statistics or another related field.

• Required Work Experience: 7 Years Actuarial experience. 2 years supervisory or managerial experience OR equivalent military experience in grade E4 or above.

• Required Skills and Abilities: Extensive knowledge of insurance products, operations, and existing regulations. Awareness of legal, political, economic, and environmental impacts on the insurance product and operation. Organizational skills. Good judgment. Ability to persuade, negotiate or influence. Strong verbal and written communication skills including presentation skills.

• Required Software and Other Tools: Microsoft Office. Working knowledge of mainframes. Computer programming skills.

• Required Licenses and Certificates: Fellow of the Casualty Actuarial Society or the Society of Actuaries or An Associate of the Society of Actuaries (ASA) or Associate of the Casualty Actuarial Society (ACAS) with at least 9 years of experience.

We Prefer That You Have The Following:

• Preferred Work Experience: 8 Years-Actuarial experience. 2 years of supervisory or managerial experience OR equivalent military experience in grade E4 or above.

• Preferred Skills and Abilities: Customer service skills. Ability to explain technical subjects to a non-technical audience.

• Preferred Licenses and Certificates: Fellow of the Society of Actuaries (FSA) or Fellow of the Casualty Actuarial Society (FCAS) and Member of the Academy of Actuaries (MAAA)

• Preferred Software and Other Tools: Knowledge of Access or other database software. Working knowledge of DB2 database. Computer systems support knowledge.

Work Environment: Typical office environment. Some travel.

Our Comprehensive Benefits Package Includes The Following:

We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits the first of the month following 28 days of employment.   

• Subsidized health plans, dental and vision coverage 

• 401k retirement savings plan with company match 

• Life Insurance 

• Paid Time Off (PTO) 

• On-site cafeterias and fitness centers in major locations 

• Education Assistance 

• Service Recognition 

• National discounts to movies, theaters, zoos, theme parks and more 

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. 

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.  

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email [email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

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