Lead Actuary – Pharmacy Pricing

🕒 June 2

🇺🇸 United States – Remote

💵 $124k - $211k / year

⏰ Full Time

🟠 Senior

📊 Actuary

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Prime Therapeutics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

Healthcare Insurance • Pharmaceuticals • SaaS

Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.

📋 Description

• 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; respond to detailed, challenging questions with confidence • Lead high-impact, cross-functional workstreams that require strong judgment, prioritization, and accountability • Mentor and support Analysts and junior Actuaries through technical guidance and ongoing feedback • Monitor health policy, regulatory, and market developments and assess implications for pricing strategy • Ensure compliance with applicable federal regulations and actuarial standards • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Math, Actuarial Science, Economics or Finance or equivalent combination of education and/or relevant work experience; HS diploma or GED is required • 8 years of actuarial work experience to include 6 years in a healthcare organization or PBM • Actuarial designation (ASA or FSA) • Must be eligible to work in the United States without the need for work visa or residency sponsorship • Advanced proficiency in Excel; working knowledge of SAS, SQL, VBA, or similar tools • Strong analytical and problem-solving skills with the ability to work through ambiguity • Ability to manage multiple complex priorities and deliver under tight timelines • Clear, professional written and verbal communication skills • Effective client-facing and executive presentation skills

🏖️ Benefits

• Visit our Benefits Page for more details (https://www.primetherapeutics.com/benefits).