Senior Pharmacy Actuary – Pricing & PBM Strategy

Lockton; Kansas City (MO); On-site; USD 120,000 - 190,000; Full time

Job summary

Lockton is seeking a Pharmacy Actuary in Kansas City to bridge pharmacy benefit strategy with actuarial projections. You will translate RFP assumptions, rebates, formulary strategies, and market trends into financial assumptions for pricing and client projections.

You will collaborate with Pharmacy and Health Actuarial teams to ensure pricing reflects contractual terms, market dynamics, and strategic initiatives, while maintaining rigorous documentation and governance.

Qualifications

• ASA designation and at least five years' actuarial or financial analytics experience in a PBM.
• FSA designation preferred.
• Deep knowledge of PBM pricing, contracts, rebates, formulary strategies.
• Experience developing actuarial models, forecasting tools, and reports.
• Strong analytical, communication and cross-functional collaboration skills.
• Proficiency with actuarial and data analysis software.

Responsibilities

• Actuarial integration between Pharmacy and Health Actuarial teams.
• Model PBM proposals, rebates, pricing, formulary strategies.
• Validate projections and assess risks and sensitivities.
• Monitor pharmacy trends and regulatory changes to improve projections.
• Develop and enhance models, tools, and reporting.
• Provide actuarial analysis on Medicare Part D and 340B programs.
• Communicate results to technical and nontechnical stakeholders.
• Maintain documentation and governance for methodologies.

Skills

Actuarial analysis

Communication

Collaboration

Analytical thinking

Financial analytics

Education

ASA designation

FSA designation

Tools

Actuarial software

Data analysis tools

Job description

Lockton is seeking a Pharmacy Actuary in Kansas City to bridge pharmacy benefit strategy with actuarial projections. You will translate RFP assumptions, rebates, formulary strategies, and market trends into financial assumptions for pricing and client projections.

You will collaborate with Pharmacy and Health Actuarial teams to ensure pricing reflects contractual terms, market dynamics, and strategic initiatives, while maintaining rigorous documentation and governance.