Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Actuary Sr Principal - Remote
Job Description
The Senior Principal Actuary is responsible for providing actuarial direction and thought leadership to Prime’s existing and potential owners and clients. This position will create innovative actuarial modeling concepts and provide strategic consulting both in support of all lines of business. This position will also play a key role in the creation of innovative pricing strategies and influencing senior leadership to adopt new ideas and approaches.
Responsibilities
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Collaborate as a subject matter expert and change agent with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the RFP process
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Lead, manage and review ad hoc complex pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts
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Provide expert strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling
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Lead, manage and review data analyses, reporting, and projections
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Present results and analyses to key stakeholders, executives, and clients; answer detailed and challenging questions regarding actuarial data, and provide compelling evidence to influence decision making
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Lead and mentor Actuarial staff, including the management and maintenance of actuarial testing program standards and application
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Monitor the Health Policy environment considering the implication of organization pricing policies, law, and political changes that may impact client programs
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Ensure work is consistent with federal regulations and actuarial standards, as applicable
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Other duties as assigned
Minimum Qualifications
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Bachelor’s degree in Math, Actuarial Science, Economics or Finance
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10 years of actuarial work experience to include 8 years in a healthcare organization or PBM
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Actuarial designation (ASA or FSA)
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Must be eligible to work in the United States without need for work visa or residency sponsorship
Additional Qualifications
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Advanced level of proficiency in Excel; intermediate level of proficiency in SAS, SQL, or VBA
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Superior quantitative, problem solving, and analytical skills
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Strong project management and organizational skills
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Strong client consulting presence
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Excellent presentation and facilitation skills with the ability to influence leaders at all levels of the organization
Preferred Qualifications
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10 years of actuarial work experience in a healthcare organization or PBM
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Previous experience pricing Commercial, Medicare or Medicaid lines of businesses
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Previous experience in underwriting or risk adjusted rate setting
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Management/People leadership experience
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Previous experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients’ complex pharmacy benefit challenges
Minimum Physical Job Requirements
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Constantly required to sit, use hands to handle or feel, talk and hear
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Frequently required to reach with hands and arms
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Occasionally required to stand, walk and stoop, kneel, and crouch
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Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
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Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
Reporting Structure
Potential pay for this position ranges from $141,200.00 - $225,600.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.
Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.