Actuarial Analyst Ii Pharmacy Remote

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Actuarial Analyst II - Pharmacy (Remote) in Baltimore, MD - CareFirst Stay alert to recruitment fraud. Looking for status on prior applications? Check your status. Home Jobs Our Teams Talent Network CareFirst Talent Network IT Talent Network Health Services Talent Network Veterans Talent Network Why CareFirst Our People, Our Strength Our Commitment to Our Community Our Commitment to Health & Wellness Our Benefits Internships Veterans Career Path Veterans Talent Network More Information Home / Job Search / Actuarial Analyst II - Pharmacy (Remote) Actuarial Analyst II - Pharmacy (Remote) Job ID: 22502 Job Function: Actuarial Location: Baltimore, MD, United States Campus: Baltimore, MD Career Band: BDB Status: Full-Time Shift: --> Apply Share this job Resp & Qualifications PURPOSE: The Actuarial Analyst II will perform individual project tasks as requested, execute calculations of moderate complexity, and understand concepts of actuarial analysis that are of varying complexity. The incumbent is responsible for utilizing various sources to procure data and then turning that data into meaningful information, as well as fulfilling ad hoc requests. ESSENTIAL FUNCTIONS: Reviews and organizes actuarial and operational data for use in a variety of actuarial analyses that may include rate filings, financial forecasts, IBNR analysis, trend analysis, provider contract analysis, etc. May utilize statistical tools to monitor and provide ongoing analysis. May assist in the preparation of complex reports and/or actuarial models. Documents data sources, assumptions, and methods. Follows standard operating procedures (SOPs) where applicable. Updates SOPs as needed. Prepares accurate and timely reports as assigned. These reports may be related to internal analysis or may be external in nature (statutory and regulatory). Participates and works collaboratively in a variety of special studies and ad hoc analyses in support of departmental business and/or clinical objectives. Makes recommendations based on actuarial assumptions and methodologies. Present analyses and recommendations in a polished and professional manner to internal and/or external customers. Researches and resolves data integrity issues. Partners with other team members to solve problems. Makes progress toward ASA/FSA designation with the Society of Actuaries by passing SOA exams, completing modules, and/or obtaining validation by educational experience (VEE) credits. SUPERVISORY RESPONSIBILITY: Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. QUALIFICATIONS: Education Level: Bachelor's Degree in Mathematics, Finance, Actuarial Science or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Experience: 2 years health insurance actuarial experience. Preferred Qualifications: Passage of 2 exams. Knowledge, Skills and Abilities (KSAs) Knowledge of calculus, statistics, probability to determine likelihood of certain events. Ability to use models and tables to evaluate large data sets. Strong understanding of business and financial concepts. Excellent communication skills both written and verbal. Highly analytical and a general understanding of health insurance products and markets. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. Salary Range: $69,984 - $138,996 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship #LI-CB1 Apply Not finding the right job? Stay informed about future openings by joining one of our Talent Networks! Join Our Talent Network --> Learn more about Finance & Accounting Related Careers Cost Accounting Manager (Hybrid) Actuarial Associate (ASA) - Pharmacy (Remote) Vice President, Treasury & Investment Management (Hybrid) Frequent Job Searches Recently Viewed Jobs Most Recent Job Searches Relevant Jobs Personalize This Site Create Job Alert My Applications About Us Company Overview Our History Awards & Recognition Corporate Offices & Locations Service Area Map News Releases Cybersecurity Doing Business with CareFirst Transforming Healthcare Mission Report Community Partnership Careers Jobs at CareFirst Join Our Team Why Work at CareFirst Internships Legal & Mandates ACA Rate Increase Justification Patient Rights & Responsibilities HIPAA Health Care Fraud Prevention Member's Privacy Policy Quality Improvement Transparency in Coverage Mental Health Parity MD Proposed Rate Increase Law Virginia Claims or Coverage Denials Machine Readable Data Nondiscrimination Notice and Foreign Language Assistance Summary of Preventive Services Media Multimedia Resources Healthcare Resources Media Inquiries Other Information Community Health Insurance Glossary Contact Us Site Map Language Assistance Available English አማርኛ للغة العربية বাংলা 中文繁体 فارسی Français Deutsch हिन्दी Igbo Italian 한국어 Diné Bizaad नेपाली Português Русский Samoa српски Español Tagalog اردو Tiếng Việt Connect with us: Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or generic information. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. To comply with this law, CareFirst must collect information regarding an employee’s identity and employment eligibility and document that information on a document referred to as Form I-9, Employment Eligibility Verification, no later than three business days from when the employee begins work for pay. If you are hired, you will be required to provide certain information on the form necessary to establish your identity and eligibility to work in the United States and certain required supporting documents. If you experience any technical difficulties during this process, please send an email detailing the specific problem you are having to [email protected] and we will respond as soon as possible. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) If you believe that you have experienced discrimination, contact OFCCP at 800-397-6251 (TTY 877-889-5627 ) or www.dol.gov/ofccp .