Remote Lead Actuary - Pharmacy Pricing & Strategy

Prime Therapeutics; Carson City (NV); Remote; USD 124,000 - 211,000; Full time

Job summary

Prime Therapeutics is seeking a Lead Actuary – Pharmacy Pricing to drive complex pricing analyses and rebate guarantees for our clients. You will collaborate with senior leaders and cross-functional teams to translate insights into actionable pricing strategies.

In this remote role, you will mentor analysts and junior actuaries, oversee models and projections, and stay ahead of policy shifts affecting pricing. A US work authorization and ASA/FSA designation are required.

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

Excel

SAS

SQL

VBA

Analytical thinking

Education

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

Actuarial designation (ASA or FSA)

Tools

SAS

SQL

Excel

VBA

Job description

Prime Therapeutics is seeking a Lead Actuary – Pharmacy Pricing to drive complex pricing analyses and rebate guarantees for our clients. You will collaborate with senior leaders and cross-functional teams to translate insights into actionable pricing strategies.

In this remote role, you will mentor analysts and junior actuaries, oversee models and projections, and stay ahead of policy shifts affecting pricing. A US work authorization and ASA/FSA designation are required.