Lead Actuary – Pharmacy Pricing
New
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Prime TherapeuticsPharmacy Benefit Manager
Algeria, Australia, Austria, Belgium, Bulgaria, Canada, Croatia, Czechia, Denmark, Egypt, Ethiopia, Finland, France, Germany, Ghana, Greece, Hungary, Ireland, Israel, Italy, Kenya, Morocco, Netherlands, New Zealand, Nigeria, Norway, Poland, Portugal, Romania, Russian Federation, Saudi Arabia, Serbia, Slovakia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, United Arab Emirates, United Kingdom, United StatesFull-TimeLead
Salary124,000 - 211,000 USD per year
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Job Details
- Experience
- 8 years of actuarial work experience to include 6 years in a healthcare organization or PBM
- Required Skills
- SQLVBAMicrosoft Excel
Requirements
- Bachelor’s degree in Math, Actuarial Science, Economics, Finance, or equivalent combination of education and experience.
- 8 years of actuarial work experience including 6 years in a healthcare organization or PBM.
- Current Actuarial designation (ASA or FSA).
- Advanced proficiency in Excel.
- Working knowledge of SAS, SQL, VBA, or similar tools.
- Strong analytical and problem-solving skills.
- Ability to manage multiple complex priorities under tight timelines.
- Effective client-facing and executive presentation skills.
- Clear, professional written and verbal communication skills.
Responsibilities
- Serve as a subject matter expert on pharmacy pricing and rebate guarantees, partnering with Underwriting, Clinical, Trade, Legal, Sales, and senior leadership.
- Lead the development, review, and delivery of complex pricing analyses, projections, and actuarial models.
- Own and execute ad hoc pharmacy data analyses to evaluate rebate performance, market events, and actual-to-expected results.
- Provide strategic pricing guidance on formulary methodology and rebate structures using market research and financial modeling.
- Present analyses and recommendations to senior stakeholders and clients.
- Lead high-impact, cross-functional workstreams.
- Mentor and support Analysts and junior Actuaries through technical guidance and ongoing feedback.
- Monitor health policy, regulatory, and market developments to assess pricing strategy implications.
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