Pharmacy Actuarial Associate at Blue Cross Blue Shield Kansas in Topeka, Kansas

Job Description:

Blue Cross and Blue Shield of Kansas has an opportunity for a Pharmacy Actuarial Associate to join our Actuarial Pricing team. This is a key role responsible for connecting deep pharmacy expertise with actuarial principles relating to health plan risk and pricing. This position is a senior member of the team.


This position will be filled as either a Pharmacy Actuarial Associate I or II, depending on experience level.


"This position is eligible to work remotely (8 or less days a month onsite) or hybrid (9 or more days a month onsite) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."



Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.




Why Join Us?

• 
  Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.


• 
  Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.


• 
  Trust: Work for one of the most trusted companies in Kansas.


• 
  Flexibility: Options to work onsite and hybrid available.


• 
  Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.

Compensation





$109,280 - $150,000


Exempt Grade 18 and 19, based on position level

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

What you'll do

• Owning and driving initiatives and analyses related to formulary strategy and pharmacy pricing.


• Measuring clinical programs and evaluating pharmacy claims data to identify cost drivers and opportunities for cost containment.


• Assessing drug and class-specific initiatives.


• Pharmacy analytics evaluating emerging results, trend drivers, evaluating the drug pipeline, and drug trends.


• Stay updated on industry regulations, trends, competitor strategies, and market best practices within Medicare Part D and pharmaceutical coverage.


• Collaborating with internal stakeholders as well as external vendors, including PBM partner contacts.


• Infrequently support the pricing team on custom group benefit pricings and other ad-hoc requests.

What you need

• Bachelor Degree in Mathematics, Actuarial Science, or related degree.


• Must have obtained the Associate designation from the Society of Actuaries and membership in the American Academy of Actuaries.


• Six years' experience pricing or reserving health insurance products, either group or individual.


• Must have advanced knowledge of actuarial and statistical modeling techniques and how they are applied to solve problems in the health insurance field.


• Must have advanced knowledge of health insurance individual pricing methodology.


• Must be familiar with health insurance marketing and sales techniques and how they are employed to the different customer segments.


• Must have and maintain adequate continuing education to be eligible to sign Actuarial Opinion Memorandums relating to health insurance rate filings, according to standards promulgated by the American Academy of Actuaries.

Bonus if you have

• Pursuit of the Fellowship designation from the Society of Actuaries


• Knowledge of pharmacy technical concepts such as WAC, AWP, AMP, etc.


• Knowledge of health insurance contracts, provider contracts, coding, policies, and procedures.

Benefits & Perks

• Base pay is only one component of your competitive Total Rewards package:
  
  
  
  • Incentive pay program (EPIP)
  
  
  • Health/Vision/Dental insurance
  
  
  • 6 weeks paid parental leave for new mothers and fathers
  
  
  • Fertility/Adoption assistance
  
  
  • 2 weeks paid caregiver leave
  
  
  • 5% 401(k) plan matching
  
  
  • Tuition reimbursement
  
  
  • Health & fitness benefits, discounts and resources
  
  
  
  

Posting Close Date




Pay Rate Type

Salary Apply Now