Consulting Actuary - Medicare Part D
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Posted 10 days ago
Job Description
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
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Associate Degree
Required Experience
7+ years
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