RxBenefits, Inc. specializes in pharmacy management solutions designed to make prescription medications more affordable and accessible. Believing better health
Actuarial Consultant – Commercial Pharmacy
Location
United States
Posted
9 days ago
Salary
$115.2K - $144K / year
Seniority
Senior
Job Description
Actuarial Consultant – Commercial Pharmacy
RxBenefits, Inc.
• Proactively provides resources, information, advice, and expertise with coworkers and stakeholders; influencing others through technical explanations and examples • Completes work assignments by applying up-to-date expertise within the Commercial Pharmacy benefit 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 responses to audits, client/broker inquiries and insurance regulations • Participates in product line evaluations by conducting analysis of product line financials, pricing, and valuation analysis; and analyzing product line performance, risk, and assumptions used in product / RFP 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.
Job Requirements
- 5+ years of Commercial Payer / PBM experience required
- 5+ years actuarial experience
- Expert in pharmacy data analytics.
- Ability to apply data visualization for project tasks, such as frequency distributions, pareto charts, analysis of variance, and correlation techniques. (Advanced Excel required)
- Mastery of data manipulation software such as Excel, SAS, Python
- Excellent communication and relational skills required for interaction with internal and external customers and end users at all levels
- Ability to translate business needs into technical specifications and user models
- Strong time management skills, demonstrate ability to manage multiple, parallel assignments with accountability for timely, cost-effective results
- The ability to function and manage projects independently
- Proficient in process mapping, root cause analysis, and quality/process improvement methodologies
- Bachelor’s degree in Actuarial Science required
- Proficient SQL / SAS preferred
- FSA, ASA, MAAA certifications strongly preferred
Benefits
- Remote first work environment
- Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
- Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
- Additional buy-up options for Short- and Long-Term Disability and Life Insurance
- 401(k) with an employer match up to 3.5% available after 60 days
- Community Service Day to give back and support what you love in your community
- 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
- Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
- Tuition Reimbursement for accredited degree programs
- Paid New Parent Leave that can be used for adoption or birth
- Pet insurance to protect your furbabies
- A robust mental health benefit and EAP service through Spring Health to support you when you need it most
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