Principal Actuary - Remote

PRIME Therapeutics; Northern (KY); Hybrid; USD 124,000 - 211,000; Full time

Job summary

Prime Therapeutics seeks a Principal Actuary to support pricing and actuarial modeling for our clients, offering strategic leadership across pricing initiatives and data analyses. The role collaborates with senior actuaries to deliver insights and pricing strategies in a remote setting.

Ideal candidates will have ASA or FSA designation, 8+ years of actuarial experience in healthcare/PBM, and strong communication skills to present analyses to executives and clients.

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.

Responsibilities

• Collaborate as a SME with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the 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

Education

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

Tools

SAS

SQL

VBA

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.

We’re reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference.

Principal Actuary - Remote

The Principal 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

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.

Prime Therapeutics LLCis 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.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at email [e-mail].