Consulting Actuary - Part D

Blue Cross and Blue Shield of North Carolina

3d • Hybrid

About The Position

As a Consulting Actuary – Part D, you will play a critical role in delivering a wide range of actuarial and analytical services for our organization. Your responsibilities will include developing pricing strategies and actuarial solutions for specific business segments, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing as well as pricing complex insurance products. You will support the company's strategic objectives by providing reliable, actionable actuarial insights and recommendations, while adeptly identifying and responding to nuanced risks and opportunities. In this role, you will demonstrate flexibility and adaptability within a dynamic and evolving industry environment.

Requirements

• 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.

Nice To Haves

• Experience in Medicare Part D pricing with a deep understanding of Part D financial drivers strongly preferred
• Proficiency with drug trend modeling and loss‑of‑exclusivity (patent loss) forecasting
• Strong formulary strategy and analytics skills, including formulary composition, tiering strategy, and formulary impact modeling

Responsibilities

• Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work
• Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers
• Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company
• Communicate effectively with all levels and divisions within the organization, including Divisional Leadership
• Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates
• Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor
• Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level