Remote Senior Pharmacy Benefits Actuary (Health)

Milliman; Oregon; Híbrido; USD 147.000 - 280.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental and Vision - Coverage

401(k) Plan

Discretionary Bonus Program

Flexible Spending Accounts

Paid Time Off

Holidays

Life Insurance & AD&D

Short-Term and Long-Term Disability

Descripción de la vacante

Milliman’s Tampa Health Practice is seeking a highly technical actuarial professional with 7+ years of health actuarial experience and ASA/MAAA credentials to join our team. The role focuses on pharmacy pricing, contracting, formulary modeling, and claims-based analyses for top-tier clients, including PBMs, health plans, and manufacturers.

This position offers a hybrid work model with opportunities to influence client strategy and regulatory filings.

Formación

• ASA or higher and MAAA in good standing
• 7+ years health actuarial experience with at least 4 years in pharmacy benefits / PBM

Responsabilidades

• Pharmacy Economic Modeling: Lead the modeling to evaluate drug pricing and contracting strategies.
• Claims Analytics: Design and implement research studies using Milliman's large claim databases to explore client business questions such as tracking utilization, patient cost sharing, total cost of care, and patient journeys.
• Client and Project Management: Manage client communications, delegate tasks to analysts, and coordinate project work to meet client deadlines. Contribute to proposal development and new business development.
• Strategic Advisory: Act as the primary SME for clients, translating complex pharmacy data into actionable business strategies and regulatory filings; stay educated on regulatory changes.

Conocimientos

Actuarial modeling

Claims analytics

Pharmacy pricing

SQL

Excel

Client management

Strategic advisory

Herramientas

Visual Studio Code

Microsoft Copilot

Descripción del empleo

Milliman’s Tampa Health Practice is seeking a highly technical actuarial professional with 7+ years of health actuarial experience and ASA/MAAA credentials to join our team. The role focuses on pharmacy pricing, contracting, formulary modeling, and claims-based analyses for top-tier clients, including PBMs, health plans, and manufacturers.

This position offers a hybrid work model with opportunities to influence client strategy and regulatory filings.