Actuarial Analyst III Pharmacy

Candidate will assist lead actuaries with the development of Rx trend studies, Medicare Part D Bids, evaluating contracting proposals from pharmaceutical manufacturers and contracted PBM, financial analysis of formulary tiering decisions, supporting Part D budget modeling, legislative assessments, and novel drug therapy risk forecasting. 

• Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.


• Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate.


• Supports actuarial documentation by preparing and reviewing for accuracy and reasonability the actuarial portion of financial reports and tax returns; and responses to insurance regulations.


• Participates in product line evaluations by conducting analysis of product line financials, pricing, reserve, valuation , cash flow analysis; and analyzing product line performance, risk, and assumptions used in product development.


• Stays abreast of actuarial research by examining developments in standards, assumptions, competition, and the legal and regulatory environment.


• Assesses, analyzes and interprets financial risks and opportunities by applying actuarial methods; and conducting actuarial analyses.


• Supports collaborations with business partners by understanding the business needs; translating actuarial constructs into non-technical recommendations; and complying with the Actuarial Standards of Practice.


• Supports actuarial modeling by developing and enhancing actuarial models; assisting with the development of alternative assumptions and forecasts using in-house models or actuarial software; and assisting with validating the data and results.

Qualifications:

• Bachelors degree in mathematics or related field AND Minimum four (4) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.

• Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries Certificate