Prime Therapeutics
Pharmacy Benefit Management (PBM)
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At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
The Lead Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime’s existing and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of innovative actuarial modeling concepts, and provide pricing support for all lines of business. This position will also lead complex projects that are highly visible to executives and across the organization.
Responsibilities
Collaborate as a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the Request for Proposal (RFP) process
Lead, manage, and review data analyses, reporting, and projections
Lead, manage, and review ad hoc complex pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts
Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling
Present results and analyses to key stakeholders, senior management, and clients; answer detailed and challenging questions regarding actuarial data
Lead and mentor Actuarial team members to enhance actuarial knowledge
Monitor the Health Policy environment considering the implication of organization pricing policies, law, and political changes that may impact client programs
Ensure all work is consistent with federal regulations and actuarial standards, as applicable
Other duties as assigned
Minimum Qualifications
Bachelor’s degree in Math, Actuarial Science, Economics or Finance
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
Additional Qualifications
Advanced level of proficiency in Excel; intermediate level of proficiency in SAS, SQL, or VBA
Excellent quantitative, problem solving, and analytical skills
Strong project management and organizational skills
Excellent verbal and written communication skills
Strong client consulting presence
Excellent presentation and facilitation skills
Preferred Qualifications
8 years of actuarial work experience in a healthcare organization or PBM
Previous experience pricing Commercial, Medicare or Medicaid lines of businesses
5 years of experience in SAS, SQL, or VBA
Previous experience in model building and underwriting or risk adjusted rate setting, or model development
Previous experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients’ complex pharmacy benefit challenges
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
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