Pay Range:
$116,900.00 - $187,100.00
Please email if you are a candidate seeking a reasonable accommodation for the application and/or interview process.
Why this job matters:
The Actuary will support a broad range of actuarial and financial functions related to BCBSRI's pharmacy benefit programs. This highly visible role requires extensive analysis of pharmacy claims experience, drug utilization, cost trends, and financial performance to support pricing, forecasting, product strategy, and pharmacy benefit management initiatives.
What you will do:
Monitor, analyze, and report on the effectiveness of the existing rating formula. Perform financial forecasting and trend analysis.
Develop statistical and actuarial models to assist in the analysis of rate and reserve adequacy. Evaluate corporate loss reserves.
Design and write computer programs to extract data from various databases. Extract and analyze claims, enrollment, and general health insurance data.
Prepare regulatory reporting requirements.
Participate in department initiatives and projects.
Perform other duties as assigned.
What you need to succeed:
Bachelor’s degree in Mathematics, Economics, or related field, or an equivalent combination of education and experience
Three to five years actuarial experience
ASA Society of Actuaries designation
Ability to interpret and perform financial forecasting, statistical modeling, and trend analysis
Advanced analytical skills, with the ability to interpret and synthesize complex data sets
Good business acumen and political savvy
Knowledge of business process improvement techniques and strategies
Excellent verbal and written communications skills
Negotiation skills
Presentation skills
Decision-making skills
Good problem solving skills
Ability to interface with employees at all levels
Ability to effectively navigate ambiguous situations with limited direction
Excellent organizational skills and ability to successfully prioritize multiple tasks
Ability to handle multiple priorities/projects
The extras:
Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:
- In-office: onsite 5 days per week
- Hybrid: onsite 2-4 days per week
- Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
