Remote Lead Actuary, Pharmacy Pricing & Strategy

Prime Therapeutics; Helena (MT); Remote; USD 124,000 - 211,000; Full time

Job summary

Prime Therapeutics Lead Actuary – Pharmacy Pricing is a remote senior role leading complex pricing analyses and rebate guarantees for Prime’s clients. You will collaborate with underwriting, clinical, trade, legal, sales, and senior leadership to translate results into actionable pricing recommendations and strategic guidance.

You will supervise analysts, manage high-visibility projects, monitor regulatory developments, and ensure compliance with actuarial standards while delivering

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

Advanced analytical skills

Strong communication

Client-facing

Presentations

Education

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

Actuarial designation (ASA or FSA)

Tools

Excel

SAS

SQL

VBA

Job description

Prime Therapeutics Lead Actuary – Pharmacy Pricing is a remote senior role leading complex pricing analyses and rebate guarantees for Prime’s clients. You will collaborate with underwriting, clinical, trade, legal, sales, and senior leadership to translate results into actionable pricing recommendations and strategic guidance.

You will supervise analysts, manage high-visibility projects, monitor regulatory developments, and ensure compliance with actuarial standards while delivering