Consulting Actuary - Pharmacy
$143.62k - $229.79kBlue Cross and Blue Shield of North Carolina
Job Description The Consulting Actuary - Pharmacy serves as a senior-level individual contributor within the Pharmacy Analytics team, supporting the organization's pharmacy strategy through advanced actuarial and analytical expertise. This role is responsible for performing complex actuarial analyses, generating actionable insights, and informing strategic decision-making to drive business outcomes. This position collaborates closely with cross-functional stakeholders and other actuarial teams to ensure alignment with enterprise priorities and to deliver high-quality, data‑driven solutions. In addition, the Consulting Actuary provides guidance and oversight to junior team members, supporting the development of talent and ensuring consistent, accurate, and timely deliverables. What You'll Do 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. What You Bring 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. Bonus Points Experience with Pharmacy Analytics is Highly Preferred What You'll Get 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 Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $143,616.00 - $229,786.00 #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- Blue Cross NC is seeking an Actuarial Associate on our Pharmacy team to analyze pharmacy trends and support pricing, forecasting, and healthcare economics initiatives. You will work with cross-functional partners to develop insights and help manage costs while advancing...SuggestedRemote workFlexible hours
$67k - $107.2k
...Description Are you passionate about leveraging data and analytics to improve healthcare affordability and outcomes? As an Actuarial Associate on our Pharmacy team, you will work alongside experienced actuaries to analyze pharmacy trends, evaluate financial performance, and...SuggestedWork at officeLocal areaRemote workFlexible hours2 days per week- Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary for the Pharmacy Analytics team. This senior-level role involves performing complex actuarial analyses, supporting pharmacy strategy, and collaborating with various stakeholders to drive business...Suggested
$43.89k - $102.08k
...family and one community at a time. Position Summary CVS Health Third-Party Revenue Cycle Management (RCM), supporting CVS Retail pharmacies, has an opportunity for a full-time Insurance AR Resolution Analyst. As an RCM Analyst, you will perform advanced, payer-level...SuggestedHourly payFull timeTemporary workWork experience placementLocal area- ...analysis of clinical trial protocols and other study documents, including the research study budget, contract, informed consent, pharmacy and lab manuals, and other supporting documentation. Perform detailed coverage analysis of research procedures in alignment with...SuggestedContract workWork experience placementWork at officeShift work
- ...Finance and 2-4 years experience in corporate finance, with strong financial modeling skills and proficiency in BI tools. The position is on-site in Davie, FL, and offers competitive benefits including a 401(k) plan and health insurance. #J-18808-Ljbffr The Pharmacy Hub
- Overview Financial Analyst (FP&A) at The Pharmacy Hub. The role supports data-informed decision-making and enhances financial performance by providing actionable insights and analysis across the organization. Location: Davie, FL. This is a 100% on-site position. The Pharmacy...
- ...: Florida, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Texas.****What you'll do:*** Analyze healthcare claims, pharmacy, lab, and Risk Adjustment submissions data to evaluate intervention and program performance.* Develop, maintain, and present reports...Live inRemote work
$20 per hour
...performance. The ideal candidate will be an expert in healthcare with a strong background in areas like Revenue Cycle Management or Pharmacy Operations. This independent contractor position offers flexibility in project selection and scheduling, alongside competitive...Remote jobHourly payFor contractors$15 - $16 per hour
...healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery... ...expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting...Hourly payContract workPrivate practice- Blue Cross and Blue Shield of North Carolina is seeking a Principal Actuary to deliver extensive actuarial work, focusing on pricing strategies and performance evaluations. This role involves proactive leadership in improving processes and ensuring compliance, as well as...
$180k - $210k
Title: Senior Actuary Risk/ALMCompensation: $180,000-$210,000 + BonusLocation: Southeast, USAActuarial Summary:A high-growth insurance group is seeking a Senior Actuary to lead initiatives in ALM, asset modeling, and risk management across its life and annuity business....- Tower Hill Insurance Group has an exciting opportunity for a talented Actuarial Associate who enjoys intellectual challenges and is seeking a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names...Full timeWork experience placementWork at officeLocal area
- ...existing and proposed Large Group business including support of pricing models. Qualifications BS or BA degree in Mathematics or Actuarial Science from accredited college or university. 3.4 GPA in college or university required. Possess strong computer abilities with...Full timeShift work
- Senior Actuarial Analyst, Home Insurance About Loggerhead Risk Management LLC Loggerhead is a property and casualty insurer that specializes in providing coverage that meets the unique needs of Florida homeowners. We’re a team of insurance professionals with customer service...Work at officeRemote work
- Health Net Health Plan of Oregon, Inc. is seeking an Associate Actuary to provide strategic leadership for evaluating quality and affordability initiatives. The role offers flexibility to work remotely from anywhere in the Continental United States. Applicants must hold...Remote job
- A property and casualty insurance firm is seeking a Senior Actuarial Analyst to manage insurance products, ensuring they're profitable yet affordable. This individual will analyze data, handle rate filing processes, and engage with stakeholders. Ideal candidates should...Remote job
- Tower Hill Insurance Group is seeking an Actuarial Associate to evaluate product performance, develop pricing recommendations, and lead actuarial analyses for new and existing insurance products. This role supports strategic decision-making, regulatory and reinsurance reporting...Work at office
- Responsibilities Completes projects and performs complex actuarial studies Obtains, verifies, analyzes and models data including risk reporting and forecasting Calculates monthly claims liability reserves Develops merit rating factors Prepares Department of Insurance...
$118.69k - $189.91k
Job Description The Principal Actuary delivers a broad range of actuarial or analytical work for the company, such as conducting pricing... ...across several different subject areas including clinical, pharmacy, network, payment integrity, value-based care, and more. What...- ...Product, Financial, Group Services, or Underwriting. Work Experience QUALIFICATIONS REQUIRED BS or BA degree in Mathematics or Actuarial Science from accredited college or university. 3.4 GPA in college or university required. Possess strong computer abilities with...Full timeWork experience placementShift work
- Centene Management Company LLC is seeking an entrepreneurial Associate Actuary to lead strategic quality and affordability initiatives. This unique role emphasizes problem-solving and innovation in ambiguity, requiring independent valuation and robust analytical solutions...
- Smith Hanley Associates in the Town of Florida, NY is seeking a Senior Actuary to lead initiatives in ALM, asset modeling, and risk management across its life and annuity business. This role involves direct exposure to senior leadership and requires strong technical actuarial...
- DataAnnotation is hiring a Senior Actuary to enhance AI models aimed at finance professionals. This role involves evaluating AI outputs and providing valuable feedback to improve the technology. The position offers a flexible schedule and hourly pay ranging from $50 to...Remote jobHourly payContract workFor contractorsFlexible hours
$87.7k - $157.8k
...considered for this role, candidates must have an ASA or FSA designation, a bachelor’s degree or higher, and at least 2 years of actuarial experience . Location: Work remotely from home anywhere in the Continental US. Position Purpose: Conduct analysis, pricing and risk...Full timeContract workPart timeH1bWork at officeRemote workWork from homeFlexible hours- ...existing procedures and operations in assigned area; makes recommendations regarding improvements; Manages or participates in key actuarial projects; Trains or provides guidance to team members; Complies with agency management system data standards and data integrity...Remote jobWork experience placementWork at officeImmediate start
- Centene is seeking a Senior Actuarial Analyst to support financial analysis, pricing, and risk assessment for Value-Based Care initiatives across the organization. You will gain hands-on experience with contract modeling, healthcare data analytics, and cross‑functional...Remote jobContract workFlexible hours
$40 per hour
A leading AI training company seeks an Actuary to train AI models by measuring chatbot progress and evaluating their logic. This position requires expert-level mathematical skills in various fields. Candidates should be fluent in English and detail-oriented. The role offers...Remote jobHourly payFor contractorsFlexible hours- Jobtailor in New York is seeking an actuarial analyst to perform complex actuarial studies, model data for risk reporting and forecasting, and calculate monthly claims liability reserves. The role develops merit rating factors and prepares Department of Insurance annual...
- Nation Safe Drivers is hiring an Actuarial Analyst to analyze data and support product development. This position is fully remote for candidates outside South Florida, with travel required for team meetings. The ideal candidate will have a Bachelor's degree in a quantitative...Remote job
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