Principal Actuary - Pharmacy

Job Description

Blue Cross NC is seeking a Principal Actuary to join our Pharmacy Analytics team as a senior individual contributor. In this role, you will play a pivotal part in shaping and advancing our Pharmacy strategy by applying deep actuarial expertise and advanced analytical skills to support critical actuarial functions and strategic decision‑making.

The Principal Actuary will collaborate closely with cross‑functional partners, business leaders, and actuarial peers to translate complex data into actionable insights that drive business outcomes. This role offers the opportunity to lead complex initiatives, influence best practices, and provide project‑based leadership and mentorship, while maintaining a strong hands‑on focus.

• Actively contribute to the success of the Actuarial Services team.
• Handle highly complex actuarial modeling.
• Lead and/or provide consultative support to assigned projects and be viewed as an expert in the field.
• Assist in pharmacy pricing for all commercial segments.
• Develop and maintain self‑funded pharmacy pricing models, working within the team to model updates and coordinate implementation with underwriting.
• Perform pharmacy trend analysis.
• Communicate and collaborate effectively with key pharmacy stakeholders on relevant pharmacy topics.
• Assist in support for financial forecasting.
• Support evaluation of financial impacts of PBM and other vendors.
• Work effectively with external vendors, including PBM partner contacts.
• Continuing
  
  Education:
  • Maintain continuing education requirements as set by the appropriate actuarial governing body (e.g., Society of Actuaries).
  • Be a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation.

• Bachelor's degree or advanced degree (where required).
• Associate of the Society of Actuaries (ASA) and Member of the American Academy of Actuaries (MAAA).
• 5+ years of experience in a related field.
• In lieu of an ASA, alternate actuarial credentials may be considered.
• In lieu of 5 years of experience, candidates who are Fellows of the Society of Actuaries (FSA) may be considered.

• Experience with Pharmacy Analytics is Highly Preferred
  .
• Excellent verbal and written communication skills, with the ability to explain complex financial/actuarial information to non‑technical audiences and senior leadership.
• Proven ability to build relationships and work effectively with internal and external partners —
  Highly Preferred
  .
• 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.

• The opportunity to work at the cutting edge of health care delivery with a team that is 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.
• 401(k) match including an annual company contribution.
• Learn more.

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.

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Actuarial Analysis, Actuarial Modeling, Actuarial Science, Actuarial Services, Benefits Analysis, Financial Analysis, Office Administration, Pharmacy

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