Remote Lead Actuary: Pharmacy Pricing & Rebates

Prime Therapeutics; Austin (TX); Remote; USD 124,000 - 211,000; Full time

Job summary

Prime Therapeutics in the United States is seeking a Lead Actuary – Pharmacy Pricing to drive complex pricing analyses, rebate guarantees, and client-specific recommendations. You will collaborate with Underwriting, Clinical, Trade, Legal, Sales, and senior leadership to shape pricing strategy and communicate insights.

The role requires an ASA/FSA designation, 8 years of actuarial experience in healthcare/PBM, advanced Excel, and knowledge of SAS/SQL.

Qualifications

• Bachelor’s degree in Math, Actuarial Science, Economics or Finance or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
• 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

• Serve as a subject matter expert on pharmacy pricing and rebate guarantees, partnering with Underwriting, Clinical, Trade, Legal, Sales, and senior leadership
• Lead the development, review, and delivery of complex pricing analyses, projections, and actuarial models
• Own and execute ad hoc pharmacy data analyses to evaluate rebate performance, market events, and actual-to-expected results
• Provide strategic pricing guidance on formulary methodology and rebate structures using market research and financial modeling
• Present analyses and recommendations to senior stakeholders and clients; respond to detailed, challenging questions with confidence
• Lead high-impact, cross-functional workstreams that require strong judgment, prioritization, and accountability
• Mentor and support Analysts and junior Actuaries through technical guidance and ongoing feedback
• Monitor health policy, regulatory, and market developments and assess implications for pricing strategy
• Ensure compliance with applicable federal regulations and actuarial standards
• Perform other duties as assigned

Skills

Actuarial experience

Stakeholder communication

Project leadership

Education

Bachelor’s degree in Math/Actuarial Science/Economics/Finance

Tools

Excel

SAS

SQL

VBA

Job description

Prime Therapeutics in the United States is seeking a Lead Actuary – Pharmacy Pricing to drive complex pricing analyses, rebate guarantees, and client-specific recommendations. You will collaborate with Underwriting, Clinical, Trade, Legal, Sales, and senior leadership to shape pricing strategy and communicate insights.

The role requires an ASA/FSA designation, 8 years of actuarial experience in healthcare/PBM, advanced Excel, and knowledge of SAS/SQL.