Associate Actuary & Manager

Philadelphia, PA, United States

Bring your drive for excellence, team orientation and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you

Description Lead analyst role in the Actuarial Analyst job family. Works autonomously on the preparation and interpretation of pharmacy data and related modeling.

Duties

Supports pharmacy pricing for all commercial segments.

Maintains self-funded pharmacy pricing model. Works within team to model updates and coordinates implementation with underwriting.

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.

Directs the development of pricing research projects, including experience and trend analyses, book of business studies, vendor analyses, etc.

Directs the development of rating information packages to be delivered to underwriting and other internal customers.

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.

In performing the tasks listed above, must show the ability to:

Be a “Pharmacy Expert” within the organization.

Take autonomous ownership of tasks, including problems with indeterminant scope.

Provide recommendations to influence project direction.

Lead cross-team and cross-organizational projects, as needed.

Assess impact on the big picture.

Handle new and unique situations.

Be accountable for project accuracy & timeliness.

Take a project from conception to completion.

Collaborate effectively with other departments and personnel, including underwriting, clinical, and informatics.

Qualifications - External

Bachelors degree in Mathematics, Statistics, Economics, Actuarial Services, or related field or equivalent work experience.

An FSA designation and five+ years of experience are required.

Solid mathematical background including extensive experience working with risk models, actuarial or mathematical analysis, and using automated or statistical analysis tools.

Proficiency in Excel is required.

Demonstrated experience using RStudio, SQL, and Visual Basic is preferred.

Proven ability to manage projects to a successful conclusion as well as the ability to identify best practices and methods.

Effective facilitation and presentation skills required in order to demonstrate business solutions in a clear and concise manner

The work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.

Diversity, Equity, and Inclusion At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve .

About Our Company Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com . We’re revolutionizing health care, and our focus is on you!

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Agency Disclaimer All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.

Current Associates Applying for a position? Click here to return to the internal career site.

Create and manage profiles for future opportunities, and review prior submissions.

#J-18808-Ljbffr