CASY-MSCCN Jobs

CASY-MSCCN Logo

Job Information

BlueCross BlueShield of North Carolina Consulting Actuary - Pharmacy in Remote, North Carolina

Job Description

This Consulting Actuary will serve as a senior-level individual contributor on our Pharmacy Analytics team. This individual will be expected to leverage foundational actuarial and analytical competencies to help the organization perform all actuarial functions required in support of our Pharmacy strategy. As a senior-level individual contribution, this position will be expected to work collaboratively with company stakeholders and other actuarial areas to achieve these objectives and will often be responsible for managing the work of junior members of the team.

  • Communicate effectively with all levels and divisions within the organization, including Divisional Leadership

  • Supports pharmacy trend and hot spot analysis.

  • Monitors and forecasts pharmacy profitability and communicates this information to leadership.

  • Provides actuarial support for corporate pharmacy initiatives.

  • Communicates and collaborates effectively with key pharmacy stakeholders, including senior leadership, on relevant pharmacy topics.

  • Directs the development of pricing research projects, including experience and trend analyses, book of business studies, vendor analyses, etc.

  • Monitors industry news and ensures the company is competitively well-positioned in a dynamic marketplace.

  • Proactively reviews advanced data analytic methods and identifies opportunities to improve team processes.

  • Works effectively with external vendors, including PBM partner contacts.

  • Represents actuarial team during meetings with management from other functional areas.

  • Performs other duties and special projects as required.

  • Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials

Hiring Requirements

  • Experience with Pharmacy Analytics is strongly preferred

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

  • Member of the American Academy of Actuaries

  • Fellow of the Society of Actuaries

  • 7 years of relevant actuarial experience, related experience may be considered.

  • In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience.

Preferred Skills/Qualifications

  • Experience with Pharmacy Analytics is strongly preferred.

  • Strong communication skills are preferred.

Salary Range

$105,500.00 - $200,500.00

About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.

For most roles, you can choose where to work - fully remote in one of the states listed below, in the office, or a hybrid of the two:

Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming

Much more than a paycheck

The total value of working at Blue Cross NC goes far beyond your paycheck. We offer benefits and perks (https://careers.bluecrossnc.com/global/en/benefits) that help you thrive, such as competitive health benefits, bonus plans based on performance, 401(k) with employer match, paid time off (plus two well-being days), and a variety of career development and wellness programs.

DirectEmployers