HimalayasHimalayas logo
Blue Cross NCBN

Consulting Actuary - Pharmacy

Blue Cross NC is a not-for-profit health insurance provider that aims to make healthcare easier and more affordable for over 4.3 million members in North Carolina.

Blue Cross NC

Employee count: 5000+

Salary: 144k-230k USD

United States only

Stay safe on Himalayas

Never send money to companies. Jobs on Himalayas will never require payment from applicants.

Job Description

The Consulting Actuary – Pharmacy serves as a senior-level individual contributor within the Pharmacy Analytics team, supporting the organization’s pharmacy strategy through advanced actuarial and analytical expertise. This role is responsible for performing complex actuarial analyses, generating actionable insights, and informing strategic decision-making to drive business outcomes.
This position collaborates closely with cross-functional stakeholders and other actuarial teams to ensure alignment with enterprise priorities and to deliver high-quality, data-driven solutions. In addition, the Consulting Actuary provides guidance and oversight to junior team members, supporting the development of talent and ensuring consistent, accurate, and timely deliverables.

What You’ll Do

  • Communicate effectively with all levels and divisions within the organization, including Divisional Leadership

  • Supports pharmacy rebate trend and forecasting.

  • Monitors and forecasts pharmacy profitability and communicates this information to leadership.

  • Provides actuarial support for corporate pharmacy initiatives.

  • Communicates and collaborates effectively with key pharmacy stakeholders, including senior leadership, on relevant pharmacy topics.

  • Monitors industry news and ensures the company is competitively well-positioned in a dynamic marketplace.

  • Proactively reviews advanced data analytic methods and identifies opportunities to improve team processes.

  • Works effectively with external vendors, including PBM partner contacts.

  • Represents actuarial team during meetings with management from other functional areas.

  • Performs other duties and special projects as required.

  • Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials

What You Bring

  • 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.

Bonus Points

  • Experience with Pharmacy Analytics is Highly Preferred

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  

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.

$143,616.00 - $229,786.00

Skills


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 the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 144k-230k USD

Education

Bachelor degree
Professional certificate

Experience

7 years minimum

Experience accepted in place of education

Location requirements

Hiring timezones

United States +/- 0 hours

About Blue Cross NC

Learn more about Blue Cross NC and their company culture.

View company profile

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has been committed to making health care easier, more affordable, and more accessible for all since its establishment in 1933. As a not-for-profit company, Blue Cross NC serves more than 4.3 million members and works diligently to meet the health insurance needs of individuals, families, and businesses throughout North Carolina. The company offers various health insurance plans, including individual and family plans, Medicare options, and coverage for employer groups.

Blue Cross NC believes in a community-first approach and has generously invested over $200 million into local initiatives focusing on improving health outcomes, fighting food insecurity, and supporting education, among other causes. With a dedicated workforce of more than 5,000 employees, Blue Cross NC prioritizes member service and satisfaction by offering tailored resources and support to navigate the complexities of health insurance. The company’s commitment to not just insuring, but truly caring for its members, reinforces its mission to improve health care for all North Carolinians.

Claim this profileBlue Cross NC logoBN

Blue Cross NC

View company profile

Similar remote jobs

Here are other jobs you might want to apply for.

View all remote jobs

23 remote jobs at Blue Cross NC

Explore the variety of open remote roles at Blue Cross NC, offering flexible work options across multiple disciplines and skill levels.

View all jobs at Blue Cross NC

Remote companies like Blue Cross NC

Find your next opportunity by exploring profiles of companies that are similar to Blue Cross NC. Compare culture, benefits, and job openings on Himalayas.

View all companies

Find your dream job

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan