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Director & Actuary I (Pharmacy) - PS36912

Company: Anthem, Inc.
Location: New Haven
Posted on: September 12, 2020

Job Description:

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Director & Actuary I (Pharmacy) - PS36912 Location: New Haven, CT

Job Family: Actuarial

Req #: PS36912

Date Posted: Jul 1, 2020

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.

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.

EEO is the Law Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance.

*WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the ‘Rip-offs and Imposter Scams’ option. Anthem requires a completed online application for consideration of employment for any position.

Keywords: Anthem, Inc., New Haven , Director & Actuary I (Pharmacy) - PS36912, Other , New Haven, Connecticut

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