Actuary

Please email HR_Talent_AcquisitionTeam@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well.

The Actuary will support a broad range of actuarial and financial functions related to BCBSRI's pharmacy benefit programs. This highly visible role requires extensive analysis of pharmacy claims experience, drug utilization, cost trends, and financial performance to support pricing, forecasting, product strategy, and pharmacy benefit management initiatives.

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  Monitor, analyze, and report on the effectiveness of the existing rating formula.  Perform financial forecasting and trend analysis.

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  Develop statistical and actuarial models to assist in the analysis of rate and reserve adequacy.  Evaluate corporate loss reserves. 

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  Design and write computer programs to extract data from various databases.  Extract and analyze claims, enrollment, and general health insurance data.

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  Prepare regulatory reporting requirements.

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  Participate in department initiatives and projects.

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  Perform other duties as assigned.

• Bachelor’s degree in Mathematics, Economics, or related field, or an equivalent combination of education and experience

• Three to five years actuarial experience

• ASA Society of Actuaries designation

• Ability to interpret and perform financial forecasting, statistical modeling, and trend analysis

• Advanced analytical skills, with the ability to interpret and synthesize complex data sets

• Good business acumen and political savvy

• Knowledge of business process improvement techniques and strategies

• Excellent verbal and written communications skills

• Negotiation skills

• Presentation skills

• Decision-making skills

• Good problem solving skills

• Ability to interface with employees at all levels

• Ability to effectively navigate ambiguous situations with limited direction

• Excellent organizational skills and ability to successfully prioritize multiple tasks

• Ability to handle multiple priorities/projects

• Experience in the health insurance industry

Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
   

Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.

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