Job Description Blue Cross NC is seeking a Senior Actuarial Analyst – Pharmacy Benefit Oversight to join our growing Pharmacy Analytics team. As a key profit driver for our enterprise, this role offers the opportunity to directly impact our bottom line through strategic Pharmacy Benefit Manager (PBM) oversight. You will leverage your technical acumen to build advanced models, analyze formulary performance, manage pharmacy net cost trends, and provide actionable insights to senior leadership. What You’ll Do - Model Building & Process Improvement: Design, develop, and maintain new actuarial models and analytical processes to evaluate PBM performance, vendor contracts, and pharmacy claims data. - Formulary Modeling & Strategy: Perform in-depth formulary modeling to drive lowest net cost strategies, optimizing pharmacy benefit offerings for financial and clinical outcomes. - Trend Management: Actively monitor, analyze, and manage pharmacy net cost trends (ingredient cost, rebate optimization, utilization). - Data Analytics & Insights: Proactively review advanced data analytic methods and identify opportunities to improve existing team processes. - Collaboration & Communication: Partner with pharmacy operations, clinical teams, underwriting, and finance to align on assumptions and drive cross-functional value. What You Bring - Bachelor's degree or advanced degree (where required) - 4+ years of experience in relevant actuarial experience. Related experience may be considered. - Must have completed 5 or more exams towards the eventual attainment of the ASA designation. - In lieu of meeting minimum exam requirements, may consider additional relevant experience. - In lieu of meeting minimum experience requirement, may consider ASA or more exams towards the eventual attainment of ASA. Bonus Points - Expert-level knowledge of SAS, SQL, and advanced Excel – Highly Preferred - Experience building complex financial models – Highly Preferred - Proven ability to communicate complex actuarial concepts to non-actuarial stakeholders and senior management. - Experience with formulary utilization management optimization – Highly Preferred - Highly organized, detail-oriented, and able to work independently in a fast-paced environment. - Strong critical thinking and creative problem-solving skills. What You’ll Get - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution  - Learn more   Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $98,092.00 - $156,947.00 Skills Actuarial Analysis, Actuarial Consulting, Actuarial Science, Business Analysis, Complex Project Management, Financial Modeling, Hiring Management, People Management, Risk Assessments, Valuation Analysis_____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

Job Description Blue Cross NC is seeking a Principal Actuary to join our Pharmacy Analytics team as a senior individual contributor. In this role, you will play a pivotal part in shaping and advancing our Pharmacy strategy by applying deep actuarial expertise and advanced analytical skills to support critical actuarial functions and strategic decision‑making. The Principal Actuary will collaborate closely with cross‑functional partners, business leaders, and actuarial peers to translate complex data into actionable insights that drive business outcomes. This role offers the opportunity to lead complex initiatives, influence best practices, and provide project‑based leadership and mentorship, while maintaining a strong hands‑on focus. What You’ll Do - Actively contributes to the success of the Actuarial Services team. - Responsible for handling highly complex actuarial modeling. - Leads and/or provides consultative support to assigned projects and is viewed as an expert in the field. - Assists in pharmacy pricing for all commercial segments - Develop/Maintain self-funded pharmacy pricing model. Works within team to model updates and coordinates implementation with underwriting. - Perform Pharmacy Trend analysis - Communicates and collaborates effectively with key pharmacy stakeholders on relevant pharmacy topics - Assists in support for Financial Forecasting - Support evaluation of financial impacts of PBM and other vendors - Works effectively with external vendors, including PBM partner contacts - Continuing Education: - Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries) - Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation What You Bring - Bachelor's degree or advanced degree (where required) - Associate of the Society of Actuaries(ASA) and Member of the American Academy of Actuaries (MAAA) - 5+ years of experience in related field - In lieu of an ASA, alternate actuarial credentials may be considered. - In lieu of 5 years of experience, may consider candidates who are Fellows of the Society of Actuaries (FSA). Bonus Points - Experience with Pharmacy Analytics is – Highly Preferred - Excellent verbal and written communication skills, with the ability to explain complex financial/actuarial information to non-technical audiences and senior leadership. - Proven ability to build relationships and work effectively with internal and external partners. – Highly Preferred - Exceptional analytical and creative problem-solving skills. - Ability to work effectively in a team-based, collaborative environment. - Self-motivated, resourceful, and able to work independently in a fast-paced, high-growth environment. What You’ll Get - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution  - Learn more   Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $118,691.00 - $189,906.00 Skills Actuarial Analysis, Actuarial Modeling, Actuarial Science, Actuarial Services, Benefits Analysis, Financial Analysis, Office Administration, Pharmacy_____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

ASA or FSA Required This position will work with assigned business units and Finance to deliver profitable growth of the business line through retention of existing relationships, new customer acquisition, and product innovation. The role leads a staff that manages the entire underwriting process for prospective clients and new customer acquisitions. - Analyze claims data and develop cost-of-care projections for existing customer renewals and new business opportunities. - Interact with clients as needed to resolve differences in projections are rate-setting methodology. - Incorporate administrative cost projections and business unit profit objectives to develop final rates quoted to customer. - Responsible for cost pricing, including evaluating data, building underwriting, and evaluating profitability. - Complete quarterly savings reporting to current clients and provide estimated savings for prospect clients - Reviews utilization, cost trends, and other assumptions that are used in pricing models. - Evaluate cost impact of new product initiatives and proposes rate structures to maximize profitability and ensure appropriate returns for risk. - Ensure that appropriate underwriting policies and procedures are applied to new and existing business and that responses are timely. - Provide recommendations on product and customer rates to senior management and coordinates approval process. - Interact with clients and customers and internal staff to resolve issues related to information provided and Request For - Proposal language and response expectations. - Supports variety of projects from Business Unit and Corporate Finance. - Manage team of pricing and reporting analysts. - Other duties as assigned. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description. Other Job Requirements Responsibilities 12+ years of experience in underwriting with a minimum of 5 years of experience in underwriting management. Experience in leading a team of people. Thorough knowledge of the health care and health insurance industries. Ability to develop and document creative approaches to underwriting new products. Experience in analysis of medical and related administrative cost data. Strong Knowledge of underwriting principles in a managed care environment. Excellent written and communication skills. Ability to self-start and work independently. Good analytical, reasoning and problem-solving skills. Strong organizational skills and must be able to adhere to strict deadlines. Willingness to learn new product lines and adapt to changing environment. Strong working knowledge Microsoft Office Product suite, specifically Excel. Experience with managing large data sets with tools such as MS Access. General Job Information Title Sr Dir, Underwriting/Pricing - Remote, Certified Actuary (FSA/ASA) Grade 32 Work Experience - Required Management/Leadership, Underwriting Work Experience - Preferred Education - Required Bachelor's Education - Preferred Master's License and Certifications - Required License and Certifications - Preferred CPA - Certified Public Accountant - EnterpriseEnterprise Salary Range Salary Minimum: $127,295Salary Maximum: $229,105 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Title: Senior Managing Director- Actuarial Solutions Lead Job Description: Senior Managing Director - STG Actuarial Consulting (Builder / Solutions Lead) Aon Strategy and Technology Group (STG) - Actuarial Consulting Location Hybrid - Chicago, IL, Minneapolis MN or New York, NY (other locations considered) Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about helping our colleagues and clients succeed. The Strategy and Technology Group (STG) is Aon's global consulting and technology business focused on, but not limited to, insurers, reinsurers, and other participants in the insurance industry. STG combines privileged access to Aon's proprietary data, advanced analytics, and global network of insurance experts to deliver distinctive insights and solutions across the risk and capital spectrum. We are seeking a Senior Managing Director to join our Actuarial Consulting team, with a particular focus on strategic and actuarial analyses for insurance and reinsurance clients and on building and scaling differentiated service offerings. What the day will look like In this senior contributor role, you will: - Lead consultative sales and client solutions - Own and grow relationships with C‑Suite and senior executives at insurers and reinsurers. - Drive complex, consultative sales processes from opportunity identification through proposal, structuring, and closing. - Diagnose client problems and design integrated actuarial and strategic solutions that address growth, profitability, capital, and risk objectives. - Articulate risk/reward trade‑offs and communicate complex technical concepts in clear, commercial language. - Act as a "builder" of services and solutions - Develop and refine new actuarial and strategic consulting offerings, including value propositions, delivery methods, and pricing approaches. - Enhance existing offerings (e.g., pricing, reserving, capital modeling, portfolio optimization, product design) to improve client impact and scalability. - Identify and connect adjacent capabilities across STG and Aon (e.g., reinsurance advisory, strategy, capital, and analytics) to create bundled, higher‑value client engagements. - Pilot innovative solutions with anchor clients, capture learnings, and translate them into repeatable offerings and go‑to‑market collateral. - Drive commercial growth - Develop and execute commercial strategies to expand STG's actuarial advisory presence in target segments. - Research and analyze prospective clients using public data (press releases, earnings calls, investor presentations) to identify issues, opportunities, and decision‑makers. - Create targeted content (e.g., issue papers, thought leadership, benchmarking studies, workshop materials) that address specific client and prospect needs. - Leverage internal and external networks to build a high‑quality pipeline of opportunities and drive revenue growth. - Oversee delivery of complex actuarial advisory engagements - Lead multidisciplinary project teams delivering work across pricing, reserving, capital/DFA, portfolio optimization, reinsurance strategy, growth and product strategy, and related analytics. - Ensure high‑quality, timely delivery and a consistent client experience across engagements and geographies. - Serve as a trusted advisor in key meetings and workshops, including leading technical and strategic discussions with executives, regulators, boards, and other stakeholders. - Contribute to culture, talent, and collaboration - Partner with STG and Aon Reinsurance leadership to foster a cohesive, collaborative culture and "Aon United" ways of working. - Mentor and develop team members, helping them grow consultative skills, solution‑building capability, and commercial acumen. - Champion an environment of continuous improvement, innovation, and learning across the actuarial consulting team. Background and credentials - FCAS (or equivalent casualty actuarial credential) required. - Typically 15years of experience in an analytics‑centric environment, preferably in property/casualty insurance, reinsurance, or actuarial consulting. - Demonstrated track record leading complex actuarial and strategic engagements for insurance or reinsurance clients. - Familiarity with R, Python, SQL or similar analytics tools preferred; strong proficiency in MS Office, particularly Excel and PowerPoint, required. Pay Transparency Laws The salary range for this position is $275,000 - $300,000 annually. This salary range is an estimate and the actual salary will vary based on applicant's education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant's geographic location. This position is eligible to participate in one of Aon's annual incentive plans to receive an annual discretionary bonus and production incentives in addition to base salary. The amount of any bonus and production incentives varies and is subject to the terms and conditions of the applicable incentive plan. How we support our colleagues In addition to our comprehensive benefits package, we encourage an inclusive workforce. Plus, our agile environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon. Furthermore, all colleagues enjoy two "Global Wellbeing Days" each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions for our colleagues as well. Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued. Aon values an innovative and inclusive workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace. Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. People with criminal histories are encouraged to apply. We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email. For positions in San Francisco and Los Angeles, we will consider for employment qualified applicants with arrest and conviction record in accordance with local Fair Chance ordinances. Aon is not accepting unsolicited resumes from search firms for this position. If you are a search firm, you will not be compensated in any way for your submission of a candidate, even if Aon hires that candidate. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-KT1 #LI-HYBRID 2576606