Senior Actuary, Pharmacy Pricing - Remote

Prime Therapeutics; Trenton (NJ); À distance; USD 124 000 - 211 000; Plein temps

Résumé du poste

Prime Therapeutics is seeking a Lead Actuary – Pharmacy Pricing to direct complex pricing analyses and rebate guarantees for clients, with mentorship of actuarial staff. This remote role supports Prime’s market-facing pricing strategies and requires strong leadership and regulatory awareness.

The ideal candidate holds ASA or FSA, a bachelor’s in a relevant field, 8+ years of actuarial experience (6+ in healthcare/PBM), and is eligible to work in the United States.

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
• Advanced proficiency in Excel; working knowledge of SAS, SQL, VBA, or similar tools
• Strong analytical and problem-solving skills with the ability to work through ambiguity
• Ability to manage multiple complex priorities and deliver under tight timelines
• Clear, professional written and verbal communication skills
• Effective client-facing and executive presentation skills
• Experience pricing Commercial, Medicare, and/or Medicaid pharmacy benefits
• Demonstrated experience leading complex pricing or rebate-related initiatives
• Prior client-facing experience supporting executive-level discussions

Responsabilités

• 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

Connaissances

Actuarial analysis

Pricing strategy

Leadership

Communication

Regulatory knowledge

Formation

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

Actuarial designation (ASA or FSA)

Outils

Excel

SAS

SQL

VBA

Description du poste

Prime Therapeutics is seeking a Lead Actuary – Pharmacy Pricing to direct complex pricing analyses and rebate guarantees for clients, with mentorship of actuarial staff. This remote role supports Prime’s market-facing pricing strategies and requires strong leadership and regulatory awareness.

The ideal candidate holds ASA or FSA, a bachelor’s in a relevant field, 8+ years of actuarial experience (6+ in healthcare/PBM), and is eligible to work in the United States.