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Prime Therapeutics · 21 hours ago

Principal Actuary - REMOTE

United States

Full-time

Remote

Senior Level, Lead/Staff

$124K/yr - $211K/yr

7+ years exp

Prime Therapeutics is a purpose-driven pharmacy benefit manager focused on connecting care for those they serve. The Principal Actuary will support the development of actuarial concepts, provide thought leadership, and lead complex projects while collaborating with various stakeholders to deliver strategic consulting support and pricing initiatives.

Health CarePharmaceutical

No H1B

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

Qualification

Actuarial designation ASAActuarial designation FSAActuarial work experienceAdvanced Excel proficiencySAS proficiencySQL proficiencyVBA proficiencyQuantitative skillsProject management skillsClient consulting presenceVerbal communication skillsWritten communication skillsPresentation skillsFacilitation skills

Required

Bachelor's degree in Math, Actuarial Science, Economics or Finance

7 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 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

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