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Cambia Health Solutions

Senior Actuary - Pharmacy

Posted 3 Days Ago
Be an Early Applicant
In-Office or Remote
4 Locations
139K-253K Annually
Senior level
In-Office or Remote
4 Locations
139K-253K Annually
Senior level
The Senior Actuary manages complex actuarial analysis, reporting, valuation, pricing, cost analysis, provider analytics, and certification activities for pharmacy and health insurance operations. The role drives strategic cross-functional projects, develops methodologies and process improvements, reviews work products for quality and compliance, communicates with regulators and customers, and mentors junior staff and interns. It requires advanced actuarial expertise, leadership, project management, and proficiency with analytical technologies.
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Senior Actuary – Pharmacy

Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Fargo, Portland, Vancouver, Renton, Medford, Burlington, Lewiston, Springdale and Little Rock offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo, Lewiston, Springdale and Little Rock offices or who are willing to relocate.


Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.  


Who We Are Looking For: 

 Every day, Cambia’s dedicated team of Senior Actuary - Pharmacy is living our mission to make health care easier and lives better. As a member of the Actuarial team, our Senior Actuary manages and performs technical, analytical, reporting and support functions, collaborating with peers, management, and customers, to help the Cambia Actuarial and Healthcare Informatics departments and the company meet market and financial goals – all in service of creating a person-focused health care experience.  

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit. 


What You Bring to Cambia: 


Qualifications:

The Senior Actuary would have a bachelor's degree in mathematics, actuarial science, statistics, economics, computer science or related discipline, with at least eight years of increasingly responsible actuarial job experience, or an equivalent combination of education and experience.


Required Licenses, Certifications, Registration, Etc.

·       Associate, Society of Actuaries (ASA) or Fellow, Society of Actuaries (FSA)


 

Skills and Attributes: 

·       Achieved Associateship in the Society of Actuaries (ASA) with Fellowship (FSA) preferred.

·       Demonstrated actuarial experience in health insurance pricing, valuation, financial reporting, cost analysis and/or provider analytics.

·       Demonstrated expert knowledge of insurance company functions, operations, and data.

·       Applies sound professional judgment in ambiguous situations.

·       Ability to represent the Division as a leadership presence in external meetings with vendors, business partners, or regulators, and internal, cross-functional meetings.

·       Ability to work independently and in teams, as appropriate, on complex projects with significant risk and financial impacts; demonstrated project management experience.

·       Demonstrated technology expertise with Microsoft Office Suite and coding (e.g, SQL, SAS, Alteryx).

·       Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired


What You Will Do at Cambia:  

·       Ability to drive strategic projects in the company and influence on cross-functional workgroups and key initiatives as actuarial representative.

·       Contributes to knowledge-sharing and team development; develops new methodologies; recommends methodology, assumptions, or process improvements to team management; performs actuarial certification duties.

·       Delivers complex messages to all organizational levels and customers; effectively develops and reviews written responses to complex regulator or customer questions.

·       Manages complex team projects and coaches; develops workplans; ensures documentation is developed and maintained; mentors junior staff and interns.

·       Performs peer review of regular and ad hoc work products, following department and team quality assurance standards; understands risk level of work products; ensures compliance with applicable Actuarial Standards of Practice.



Work Environment

·       Travel may be required, either locally or out of state

·       May be required to work outside of normal business hours


Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.


National pay structure — applies to the Boise and Lewiston, ID; Salt Lake City, UT, Oregon and Washington. The expected salary range is $164,900.00 - $223,100.00. The full salary range is $155,000.00 - $253,000.00 and the bonus target is 18%.


Regional pay structure — applies to North Dakota and Arkansas, as well as Idaho and Utah locations outside the metro areas listed above: The expected salary range is $148,410.00 - $200,790.00. The full salary range is $139,000.00 - $227,000.00 and the bonus target is 18%.

About Cambia


Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care.  Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.


Why Join the Cambia Team?


At Cambia, you can:  

  • Work alongside diverse teams building cutting-edge solutions to transform health care.  
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.  
  • Grow your career with a company committed to helping you succeed. 
  • Give back to your community by participating in Cambia-supported outreach programs.  
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.  

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.  


In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: 


  • Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. 
  • Annual employer contribution to a health savings account.  
  • Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. 
  • Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). 
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). 
  • Award-winning wellness programs that reward you for participation. 
  • Employee Assistance Fund for those in need. 
  • Commute and parking benefits. 

Learn more about our benefits. 


We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.


As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

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