Job Description
This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic support for all Blue Cross NC Medicare products with a particular emphasis on Medicare Part D. You will identify and evaluate risks and strategic opportunities involving Blue Cross NC’s Medicare business through the deployment of actuarial concepts. As a Consulting Actuary you will also provide Medicare thought leadership and assist in the development of go-to-market strategies.Develop and maintain actuarial models to support the Medicare Advantage Part D bid process
Provide proactive and strategic thought leadership relating but not limited to pharmacy network, formulary, and Medicare Part D topics
Manage relationship with external Pharmacy Benefits Manager as primary point of contact
Experience providing ad-hoc analytic and pricing support for corporate and departmental projects.
Perform actuarial research, experience studies, and statistical analyses using Excel, SQL, SAS, and other tools
Communicate effectively with all levels and divisions within the organization, including Divisional Leadership
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.
Hiring 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.
5 years of relevant Medicare Part D experience
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.
Salary Range
$105,500.00 - $200,500.00
Guidehouse
Liberty Mutual Insurance
ProSidian Consulting
Kemper
Mutual of Omaha