Actuarial Analyst II - Pharmacy (Remote)

Summary

CareFirst BlueCross BlueShield is seeking an Actuarial Analyst II - Pharmacy to support actuarial analyses for health insurance operations. The role involves organizing and analyzing data, preparing reports and models, conducting special studies, making recommendations, resolving data integrity issues, and progressing toward ASA/FSA designation.

Responsibilities

• Reviews and organizes actuarial and operational data for use in a variety of actuarial analyses that may include rate filings, financial forecasts, IBNR analysis, trend analysis, provider contract analysis, etc. May utilize statistical tools to monitor and provide ongoing analysis. May assist in the preparation of complex reports and/or actuarial models. Documents data sources, assumptions, and methods. Follows standard operating procedures (SOPs) where applicable. Updates SOPs as needed
• Prepares accurate and timely reports as assigned. These reports may be related to internal analysis or may be external in nature (statutory and regulatory)
• Participates and works collaboratively in a variety of special studies and ad hoc analyses in support of departmental business and/or clinical objectives
• Makes recommendations based on actuarial assumptions and methodologies
• Present analyses and recommendations in a polished and professional manner to internal and/or external customers
• Researches and resolves data integrity issues. Partners with other team members to solve problems
• Makes progress toward ASA/FSA designation with the Society of Actuaries by passing SOA exams, completing modules, and/or obtaining validation by educational experience (VEE) credits

Skills

• Education Level: Bachelor's Degree in Mathematics, Finance, Actuarial Science or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
• Experience: 2 years health insurance actuarial experience
• Knowledge of calculus, statistics, probability to determine likelihood of certain events
• Ability to use models and tables to evaluate large data sets
• Strong understanding of business and financial concepts
• Excellent communication skills both written and verbal
• Highly analytical and a general understanding of health insurance products and markets
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging
• The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted
• Must be eligible to work in the U.S. without Sponsorship
• Passage of 2 exams

Qualifications

Must Haves

• Education Level: Bachelor's Degree in Mathematics, Finance, Actuarial Science or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
• Experience: 2 years health insurance actuarial experience
• Knowledge of calculus, statistics, probability to determine likelihood of certain events
• Ability to use models and tables to evaluate large data sets
• Strong understanding of business and financial concepts
• Excellent communication skills both written and verbal
• Highly analytical and a general understanding of health insurance products and markets
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging
• The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted
• Must be eligible to work in the U.S. without Sponsorship

Nice to Haves

• Passage of 2 exams

Benefits

• Comprehensive benefits package
• Various incentive programs/plans
• 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements)
• Remote work arrangement