Blue Cross NC · 3 weeks ago
Consulting Actuary - Pharmacy
United States
Full-time
Remote
Senior Level
$144K/yr - $230K/yr
7+ years expBlue Cross NC is seeking a Consulting Actuary - Pharmacy to support their pharmacy strategy through advanced actuarial and analytical expertise. This senior-level role involves performing complex analyses, generating insights for decision-making, and collaborating with stakeholders to deliver high-quality solutions while mentoring junior team members.
FinanceHealth InsuranceProperty & Casualty InsuranceFinancial ServicesInsurance
Responsibilities
Communicate effectively with all levels and divisions within the organization, including Divisional Leadership
Supports pharmacy rebate trend and forecasting
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
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
Qualification
Required
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
Experience with Pharmacy Analytics is Highly Preferred
Benefits
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
Annual Incentive Bonus*
401(k) with employer match
Paid Time Off (PTO)
Competitive health benefits and wellness programs
Company
Blue Cross NC
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.
5001-10000 employees
H1B Sponsorship
Blue Cross NC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
13%
Represents job field similar to this job
Management and Executive
Engineering and Development
Customer Service and Support
Trends of Total Sponsorships
*2026 (2)
2025 (4)
2024 (1)
2023 (2)
2022 (5)
2021 (13)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Tunde Sotunde
President and Chief Executive Officer
Caleb Davies
Medicaid Market CFO - Healthy Blue of NC Medicaid
Recent News
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