Senior Director, Actuarial Forecasting

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $164k - $279k / year

⏰ Full Time

🟠 Senior

📊 Actuary

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Prime Therapeutics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

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

• Lead a team of actuaries providing strategic pricing advice on structures and methodology • Use market research, financial projections, and complex actuarial modeling • Collaborate with underwriters, client engagement, and senior leadership on RFP processes and pricing and risk management initiatives • Develop and maintain forecasting assumptions related to utilization, unit cost, benefit design, and regulatory events • Oversee pricing processes and recommendations • Work with Finance and functional departments on current and projected product and transactional costs and pricing strategy • Develop scalable processes and effective controls for work products following actuarial standards of practice • Lead negotiations and presentations, translating complex concepts for varied audiences • Manage department budget, staffing, performance, and development • Demonstrate Prime's leadership expectations with direct reports, cross-functional teams, and external stakeholders • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree in Math, Actuarial Science, Economics, Computer Science, Data Science, or related area of study, or equivalent combination of education and/or relevant work experience • High school diploma from an accredited school or equivalent GED required • 10 years of actuarial work experience, including 5 years within healthcare or the PBM industry • 7 years of leadership experience • Actuarial designation (ASA or FSA) • Must be eligible to work in the United States without the need for work visa or residency sponsorship • Excellent quantitative, problem solving, and analytical skills • Ability to manage multiple, complex projects simultaneously without compromising quality • Strong client consulting presence and ability to present complex material clearly • Ability to communicate effectively with senior leaders across the organization • Experience identifying, designing, recommending, and implementing efficient, innovative business solutions to clients’ complex pharmacy benefit challenges • Strong understanding of pharmacy plan design • Must comply with security responsibilities, applicable legal, regulatory, and contractual requirements, and internal policies and procedures • Must be able to perform the essential functions of the job; reasonable accommodations may be made when requested

🏖️ Benefits

• Benefits, incentives, and additional compensation are available; details provided on the employer's Benefits Page • Equal opportunity and affirmative action employer • Reasonable accommodations for employees with disabilities • Tobacco-Free Workplace