Job Information
BlueCross BlueShield of North Carolina Principal Actuary - Pharmacy in Remote, North Carolina
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.
What You’ll Do
Actively contributes to the success of the Actuarial Services team.
Responsible for handling highly complex actuarial modeling.
Leads and/or provides consultative support to assigned projects and is viewed as an expert in the field.
Assists in pharmacy pricing for all commercial segments
Develop/Maintain self-funded pharmacy pricing model. Works within team to model updates and coordinates implementation with underwriting.
Perform Pharmacy Trend analysis
Communicates and collaborates effectively with key pharmacy stakeholders on relevant pharmacy topics
Assists in support for Financial Forecasting
Support evaluation of financial impacts of PBM and other vendors
Works effectively with external vendors, including PBM partner contacts
Continuing Education:
Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries)
Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation
What You Bring
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 related field
In lieu of an ASA, alternate actuarial credentials may be considered.
In lieu of 5 years of experience, may consider candidates who are Fellows of the Society of Actuaries (FSA).
Bonus Points
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.
What You’ll Get
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
Learn more (https://careers.bluecrossnc.com/global/en/benefits)
Salary Range
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.
$118,691.00 - $189,906.00
Skills
Actuarial Analysis, Actuarial Modeling, Actuarial Science, Actuarial Services, Benefits Analysis, Financial Analysis, Office Administration, Pharmacy
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .
About Us
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Authorization to Work in the United States
We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.
Request Accommodations
Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at HR.Staffing@bcbsnc.com .
Blue Cross NC is a Hybrid First company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welsome candidates from outside the local area and in any of our approved states:
Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming