67 Associate Actuary & Manager Jobs in Philadelphia, PA
Independence Blue Cross is Hiring an Associate Actuary & Manager Near Philadelphia, PA
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.
Competencies/Expectations
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.
- Mentor junior actuarial associates.
- 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.
Job Summary
Full Time
$95k-119k (estimate)
07/01/2024
07/18/2024
ibx.com
CEDAR GROVE, NJ
7,500 - 15,000
1938
DON MUZICH
$1B - $3B
Wholesale
Related Companies
About Independence Blue Cross
Independence Blue Cross is the leading health insurance organization in southeastern Pennsylvania. With our affiliates, we serve nearly 8.5 million people in 25 states and Washington, D.C., including more than 2.5 million in the region. For nearly 80 years, we have been enhancing the health and well-being of the people and communities we serve by delivering innovative and competitively priced health care products and services; pioneering new ways to reward doctors, hospitals, and other health care professionals for coordinated, quality care; and supporting programs and events that promote well...-being. To learn more visit www.ibx.com. Connect with us on Facebook and Twitter. Independence Blue Cross is a subsidiary of Independence Health Group, Inc. independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.
More
Show less
