CareFirst BlueCross BlueShield

Actuary Consultant (ASA) - Pharmacy (Remote)

CareFirst BlueCross BlueShield$98K — $196K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Actuarial Science, Finance, Mathematics, or related field, or 4 additional years of relevant experience in lieu of a degree.
  • Associate of the Society of Actuaries (ASA) required upon hire.
  • 4 years of progressively responsible actuarial experience in health care.
  • Strong ability to plan and prioritize work effectively.
  • Excellent analytical and interpersonal communication skills.

Responsibilities

  • Serve as an internal consultant and subject matter expert for assigned markets.
  • Lead and manage analyses for moderate to complex engagements in collaboration with leaders.
  • Analyze actuarial data for pricing and product development, recommending assumptions and methods.
  • Prepare communications and actuarial justifications, developing methodologies to find opportunities.
  • Assist in developing departmental policies and standard operating procedures.

Benefits

  • Comprehensive benefits package available.
  • Various incentive programs and plans.
  • 401k contribution programs available subject to eligibility.
Full Job Description
Resp & Qualifications

PURPOSE:
The Actuarial Consultant will be primarily responsible for serving as the technical expert and SME for medium to complex projects. Working collaboratively with Actuarial leadership, assists with the development of strategies and processes that ensure efficient, compliant, and error-free implementation toward the goals of meeting departmental objectives. Performs advanced actuarial and oversight skills in the performance of assigned duties and analytics to develop actionable items.

ESSENTIAL FUNCTIONS:
  • Serve as internal consultant and SME for assigned markets. Lead and manage moderate to complex analyses working collaboratively with leadership and assigned groups. Develop plans for execution of mid-size engagements.
  • Develop and analyze actuarial and related items and data relating to pricing, experience analysis, or product development. Develop and recommend actuarial assumptions and methods. Monitor and revise existing analytical procedures.
  • Prepare actuarial justification and communications as appropriate. Research, develop and validate methodologies to identify areas of actuarial opportunity. Assist in the development of departmental policies and SOPs.

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Actuarial Science, Finance, Mathematics 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.

Licenses/Certifications Upon Hire Required:
  • Associate of the Society of Actuaries (ASA).

Experience: 4 years progressively responsible actuarial experience in health care.

Knowledge, Skills and Abilities (KSAs)
  • Ability to organize to task completion, plan and prioritize work.
  • Must demonstrate flexibility, innovation and problem-solving skills and resourcefulness.
  • Ability to express technical and financial analysis in a clear, concise manner on both written and oral form.
  • Must possess negotiating and consulting skills.
  • Possesses highly developed analytical skills and excellent interpersonal and communication skills, both written and oral.
  • Effectively convey actuarial and/or underwriting issues to a diverse audience.
  • 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.

Salary Range: $98,712 - $196,053

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

PHYSICAL DEMANDS:

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.

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About CareFirst BlueCross BlueShield

CareFirst BlueCross BlueShield is a regional health insurance company that serves over 3.4 million members in Maryland, the District of Columbia, and Northern Virginia. It is a nonprofit organization and the largest health insurer in the Mid-Atlantic region. The company offers a variety of health insurance plans, including individual and family plans, Medicare plans, and employer-sponsored plans.
Learn more about CareFirst BlueCross BlueShield
Size
5,000 employees
Industry

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