Consulting Actuary - Pharmacy

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 Where You’ll Work Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in‑person connection – that supports a workplace that’s flexible, connected, and future focused. In a Hybrid‑Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in‑office visits each year for meaningful moments that matter. Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process. 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 Relevant skills for this role include advanced actuarial modeling, data analytics, and experience with pharmacy data systems. #J-18808-Ljbffr