Actuary Consultant (ASA) - Pharmacy (Remote)
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).
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
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.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
#LI-CB1
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).
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
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.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
#LI-CB1
About CareFirst BlueCross BlueShield
Named by the Ethisphere Institute as one of the “World’s Most Ethical Companies” for 10 consecutive years.
CareFirst. It’s not just our name. It’s our promise. Over 3.5 million people trust us with their healthcare needs, and we take this responsibility seriously.
Our vision for healthcare is clear. Quality care should be easy to afford, easy to use and available to everyone. And what we’re building for you is exactly what we expect for ourselves and those we love.
Every day, we make a meaningful difference in the communities where we live and work. We solve real problems for the people we serve with equal parts empathy and urgency—simplifying the complex, delivering tailored solutions and stepping forward with new ideas.
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COVID-19 VACCINATION NOTICE: As a leading healthcare organization, it is our responsibility to do our part to help end this pandemic and protect the health and well-being of our members, workforce, communities, businesses and partners. Our recruiters continue to fill open positions. Interviews and other processes are being modified to protect the safety of our candidates and team members. Effective November 1, 2021, COVID-19 full vaccination is required for all employees, including those who work remotely today or in the future. CareFirst will comply with all state and local laws regarding vaccine mandates. Medical and religious exemptions will be made where appropriate using our standard vaccine exemption processes.
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