Job description
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.
Job Posting Title
Sr. Director Actuarial Forecasting - RemoteJob Description
The Senior Director of Actuarial Services leads a team of actuaries responsible for providing strategic pricing direction and thought leadership to Prime’s existing and potential clients and through the creation and use of innovative actuarial modeling concepts. This position will provide direct oversight of pricing processes and recommendations. This position works directly with Finance and functional departments on current and projected product and transactional costs and pricing strategy, as applicable.
Responsibilities
Leads a team of actuaries to provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling
Collaborates with underwriters, client engagement, and senior leadership on RFP process and other pricing and risk management initiatives related to various lines of business
Engages with functional leadership to develop and maintain forecasting assumptions related to utilization, unit cost, benefit design, and regulatory events
Develops processes to ensure scalability and effective control of work product following actuarial standards of practice
Leads negotiations and presentations and translates highly complex concepts in ways that can be understood by a variety of audiences
Manage department budget, staffing, performance and development, and consistently demonstrate Prime’s leadership expectations during interactions with direct reports, cross functional and external stakeholders
Other duties as assigned
Minimum Qualifications
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, 5 of those years being 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
Additional Qualifications
Excellent quantitative, problem solving, and analytical skills
Ability to manage multiple, complex projects simultaneously without compromising quality
Strong client consulting presence; ability to distill complex material into easy to understand presentations, effectively respond to questions and engage a variety of audiences
Ability to communicate effectively with senior leaders across the organization
Preferred Qualifications
Master's degree or credentialed equivalent
Experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients’ complex pharmacy benefit challenges
Strong understanding of pharmacy plan design
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 $164,000.00 - $279,000.00 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 (
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.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.