E-Verify Program

Consulting Actuary – Part D

E-Verify Program

full-time

Posted on:

Location Type: Remote

Location: Kentucky • Louisiana • United States

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Salary

💰 $143,616 - $229,786 per year

Job Level

SeniorLead

About the role

  • 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.

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.
  • 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.
Benefits
  • 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.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
actuarial analysisdrug trend modelingloss-of-exclusivity forecastingformulary strategyformulary compositiontiering strategyformulary impact modeling
Soft Skills
strategic thought leadershipeffective communicationnegotiationbusiness relationship managementfinancial stewardship
Certifications
Bachelor's degreeMember of the American Academy of ActuariesFellow of the Society of ActuariesAssociate of the Society of Actuaries