Director & Actuary I (Pharmacy) - PS36912

Company: Anthem, Inc.
Location: Waukesha
Posted on: September 13, 2020

Job Description:

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Director & Actuary I (Pharmacy) - PS36912 Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.

Director & Actuary I (Pharmacy)

Work Location: Wallingford, CT, Morristown, NJ, or Atlanta, GA preferred location

Alternate Locations: Indianapolis, IN; Mason, OH; Louisville, KY; St. Louis, MO; Waukesha, WI; Richmond, VA; Virginia Beach, VA

This Director & Actuary I role is responsible for leading and managing the actuarial group that models pharmacy formulary changes for the Value Assessment Committees (VAC). Formulary changes are one of the largest pharmacy Cost of Care opportunities for Anthem that directly impacts all lines of business (Commercial, Medicaid and Medicare). Reliable cost projections are key to meeting our pharmacy financial goals.

Primary duties may include, but are not limited to:

Manages a team of actuaries to deliver reliable, thorough cost projections under a range of modeling scenarios for monthly VAC meetings.

Responsible for the technical accuracy of actuarial models, which includes (1) understanding of PBM economics and (2) working cross-functionally with different business groups (clinical, rebates, operations, etc.) to build out key assumptions. A strong push to improve efficiency and accuracy of modeling is a constant focus.

Supports requests for internal constituents (such as Cost of Care) and external customers where appropriate.

Conducts and analyzes experience studies, validates pricing assumptions and monitors the consistency of company practices and procedures.

Responsible for decisions determining priority of work assignments, appropriateness of actuarial and statistical analysis, determining actuarial soundness of modeling.

Strong verbal and written communications skills are required as this role co-leads the monthly VAC prep calls and provides actuarial insight on assumptions and results during the VAC calls with executives.

Candidate must be proactive and persistent, be comfortable speaking publicly and have a well-documented ability to navigate large organizations.

Hires, trains, coaches, and develops direct reports.

Qualifications

Qualifications:

Requires a BA/BS in actuarial science, mathematics, statistics or related field; ASA/MAAA required; 7 years of related experience is also required.

Prior management experience and prior pharmacy experience strongly desired.

May participate in the Actuarial Program.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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