Blue Cross NC is hiring a Principal Actuary to join our Pharmacy Analytics team. In this senior individual contributor role, you will shape pharmacy strategy through deep actuarial expertise and advanced analytics, translating complex data into actionable insights that drive business outcomes.
What You'll Do
- Actively contribute to the success of the Actuarial Services team.
- Handle highly complex actuarial modeling and provide expert consultative support for assigned projects.
- Assist in pharmacy pricing for all commercial segments.
- Develop and maintain the self-funded pharmacy pricing model, coordinating implementation with underwriting.
- Perform comprehensive Pharmacy Trend analysis.
- Communicate and collaborate effectively with key pharmacy stakeholders.
- Assist in financial forecasting and support evaluation of financial impacts from PBM and other vendors.
- Work effectively with external vendors, including PBM partner contacts.
- Maintain continuing education requirements as set by the appropriate Actuarial governing body.
- Participate in the Actuarial Development Program if still pursuing the FSA designation.
What We're Looking For
- Bachelor's degree or advanced degree.
- Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries (MAAA).
- 5+ years of experience in a related field.
Nice to Have
- Direct experience with Pharmacy Analytics.
- Excellent verbal and written communication skills, with the ability to explain complex financial and actuarial information to non-technical audiences and senior leadership.
- Proven ability to build relationships and work effectively with internal and external partners.
- Exceptional analytical and creative problem-solving skills.
- Ability to work effectively in a team-based, collaborative environment.
- Self-motivated, resourceful, and able to work independently in a fast-paced, high-growth environment.
Team & Environment
You will be a senior individual contributor on the Pharmacy Analytics team.
Benefits & Compensation
- Compensation range: $118,691.00 - $189,906.00.
- 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.
Blue Cross NC is an equal opportunity employer.
