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  5. Principal Actuary – Pharmacy Benefit Manager (PBM) Oversight

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Himalayas

Principal Actuary – Pharmacy Benefit Manager (PBM) Oversight

United StatesPosted about 5 hours agoVerified about 1 hour ago

About This Gig

Job Description As a Principal Actuary within our growing Pharmacy Analytics team, you will act as a key member of our enterprise's ability to shape the future of our pharmacy benefits. This highly visible role provides actuarial oversight of our Pharmacy Benefit Manager (PBM). You will be responsible for translating complex contractual requirements into actionable financial models, standing up new, innovative, and complex PBM arrangements, and driving value through rigorous analytics. You will work closely with internal pharmacy leadership and external partners to ensure the company remains competitively positioned in a dynamic marketplace. What You’ll Do PBM Contract Modeling & Oversight: Translate complex PBM contractual terms into robust financial/actuarial models, ensuring all contractual requirements are met or exceeded. Strategic Initiatives: Lead the setup and implementation of new, complex PBM arrangements. Rebate & Financial Reconciliation: Perform detailed PBM rebat

Skills & Tags

Actuarial ScienceActuaryPharmacy Benefit ManagementHealthcare AnalyticsFinancial Modeling

About the Seller

B

Blue Cross NC

on Himalayas

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