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Blue Cross and Blue Shield of North Carolina

Not-for-profit health insurance provider

Senior Actuarial Analyst - Pharmacy Medical Economics

Actuarial & Risk ModellingConfirmed live in the last 24 hours
Full-timeRemote

About the Job

Requirements

  • A bachelor's degree or advanced degree is required where applicable.
  • At least 4 years of relevant actuarial experience is required; related experience may be considered.
  • Must have completed at least 5 exams toward the ASA designation. Additional relevant experience may be considered instead of the minimum exam requirement.
  • ASA attainment or additional ASA exams may be considered instead of the minimum experience requirement.
  • SQL is required.

Responsibilities

  • Support pharmacy trend and hot spot analysis.
  • Evaluate moderately complex trend analysis.
  • Monitor and forecast pharmacy profitability.
  • Provide actuarial support for corporate pharmacy initiatives.
  • Perform pricing research projects, including experience and trend analyses, book of business studies, and vendor analyses.
  • Monitor industry news and help ensure the company remains competitively positioned in a dynamic marketplace.
  • Review advanced data analytic methods and identify opportunities to improve team processes.
  • Participate in requirements gathering for corporate projects and serve as a delegate or backup for those projects.
  • Generate ideas and analytical approaches for departmental projects.
  • Plan, implement, manage, and/or contribute to projects of moderate to high complexity.
  • Participate in good standing in the Actuarial Development Program.

Desired Qualifications

  • Pharmacy healthcare knowledge is highly preferred.

About the Company

Blue Cross and Blue Shield of North Carolina

Not-for-profit health insurance provider

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides health insurance and health-care services to over 4.3 million members. It uses a not-for-profit model and operates as an independent licensee of the Blue Cross Blue Shield Association, with a focus on improving health and health care across North Carolina. Its products include health insurance plans and related health services designed to help people stay healthier and access care. The company differentiates itself through its not-for-profit status, large regional presence, and commitment to community health, aiming to lead the industry in better health outcomes. Its goal is to make health care better for all by supporting healthier communities and delivering value to its members through quality coverage and services.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Durham, NC
Founded
1933

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