Medicare Pharmacy Trend Analytics Lead

Jobtailor; Minnesota; On-site; USD 110,000 - 170,000; Full time

Job summary

Jobtailor in Minnesota seeks a qualified Actuarial Analyst to prepare Medicare Part D/B spend analyses and provide insights to support strategic decisions. The role requires strong analytics, communication with executives, and expertise in PBM programs.

Candidates should have ASA designation, a BA/BS degree, and experience with Medicare legislation effects, including IRA. Proficiency in Databricks, SQL, Python, Snowflake, and Power BI is valued.

Qualifications

• Requires a BA/BS degree and a minimum of 4 years of related experience.
• ASA designation is required.
• PBM experience strongly preferred.
• Medicare Part D experience strongly preferred.
• Experience analyzing Medicare Part B drug spend and trend.
• Ability to explain complex Medicare Part B and Part D spend drivers to executives.

Responsibilities

• Prepares and presents Medicare Part D and Part B drug spend and trend analyses for Medicare Individual and Group businesses.
• Delivers actionable pharmacy spend and trend insights through recurring trend reporting and ad hoc analyses.
• Performs key actuarial functions including new product pricing and evaluation of legislative impact.
• Designs and completes projects such as experience-rating formulas and alternative settlement/risk-sharing models.
• Makes recommendations on pricing, marketing, product design, claims, premium, and enrollment administration.
• Provides valuation support by interpreting financial results and variance analysis to aid risk management.

Skills

Presentation skills

Communication skills

Analytical thinking

Stakeholder management

Education

BA/BS degree

ASA designation

Tools

Databricks

SQL

Python

Snowflake

Power BI

Job description

Jobtailor in Minnesota seeks a qualified Actuarial Analyst to prepare Medicare Part D/B spend analyses and provide insights to support strategic decisions. The role requires strong analytics, communication with executives, and expertise in PBM programs.

Candidates should have ASA designation, a BA/BS degree, and experience with Medicare legislation effects, including IRA. Proficiency in Databricks, SQL, Python, Snowflake, and Power BI is valued.