Actuarial Analyst
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
- 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.
