Sr. Director Actuarial Forecasting - Remote

Prime Therapeutics; Richmond (VA); Remote; USD 164,000 - 279,000; Full time

Job summary

Prime Therapeutics is seeking a Senior Director of Actuarial Forecasting to lead a team of actuaries, shape pricing strategy, and collaborate across Finance and client-facing teams. The role emphasizes governance, forecasting, and innovative modeling in a remote-capable environment.

The position requires a strong actuarial background, ASA/FSA designation, and a track record of leadership in healthcare or PBM pricing. Competitive compensation is provided with potential for strategic impact.

Qualifications

• Bachelor's degree in Math, Actuarial Science, Economics, Computer Science, Data Science, or related area of study; HS diploma or GED required.
• 10 years actuarial work experience, 5 in healthcare or PBM.
• 7 years of leadership experience.
• Actuarial designation (ASA or FSA).
• Must be eligible to work in the United States without visa sponsorship.
• Excellent quantitative, problem solving, and analytical skills.
• Ability to manage multiple, complex projects simultaneously.
• Strong client consulting presence; ability to distill complex material for diverse audiences.
• Ability to communicate with senior leaders across the organization.
• Master's degree or credentialed equivalent (preferred).
• Experience in identifying and implementing pharmacy-benefit solutions (preferred).

Responsibilities

• Leads a team of actuaries to provide strategic pricing advice using market research and complex modeling.
• Collaborates with underwriters, client engagement, and senior leadership on RFPs and pricing initiatives.
• Develops forecasting assumptions related to utilization, unit cost, benefit design, and regulatory events.
• Establishes scalable processes and controls for actuarial work.
• Leads negotiations and presentations for diverse audiences.
• Manages department budget, staffing, performance, and development.
• Performs other duties as assigned.

Skills

Leadership experience

Actuarial modeling

Pricing strategy

Communication with senior leaders

Strategic thinking

Education

Bachelor's degree in Math/Actuarial Science/Economics/CS/Data Science or related

Actuarial designation ASA or FSA

Master's degree (preferred)

Job description

Home

Full time

R-17300

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Sr. Director Actuarial Forecasting - Remote

Job Description

The Senior Director of Actuarial Services leads a team of actuaries responsible for providing strategic pricing direction and thought leadership to Prime’s existing and potential clients and through the creation and use of innovative actuarial modeling concepts. This position will provide direct oversight of pricing processes and recommendations. This position works directly with Finance and functional departments on current and projected product and transactional costs and pricing strategy, as applicable.

Responsibilities

• Leads a team of actuaries to provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling


• Collaborates with underwriters, client engagement, and senior leadership on RFP process and other pricing and risk management initiatives related to various lines of business


• Engages with functional leadership to develop and maintain forecasting assumptions related to utilization, unit cost, benefit design, and regulatory events


• Develops processes to ensure scalability and effective control of work product following actuarial standards of practice


• Leads negotiations and presentations and translates highly complex concepts in ways that can be understood by a variety of audiences


• Manage department budget, staffing, performance and development, and consistently demonstrate Prime’s leadership expectations during interactions with direct reports, cross functional and external stakeholders


• Other duties as assigned

Minimum Qualifications

• Bachelor's degree in Math, Actuarial Science, Economics, Computer Science, Data Science, or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma from an accredited school or equivalent GED required


• 10 years of actuarial work experience, 5 of those years being within healthcare or the PBM industry


• 7 years of leadership experience


• Actuarial designation (ASA or FSA)

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Excellent quantitative, problem solving, and analytical skills


• Ability to manage multiple, complex projects simultaneously without compromising quality


• Strong client consulting presence; ability to distill complex material into easy to understand presentations, effectively respond to questions and engage a variety of audiences


• Ability to communicate effectively with senior leaders across the organization

Preferred Qualifications

• Master's degree or credentialed equivalent


• Experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients’ complex pharmacy benefit challenges


• Strong understanding of pharmacy plan design

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

Potential pay for this position ranges from $164,000.00 - $279,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the \"Benefits at a glance\" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

At Prime Therapeutics (Prime), we are a different kind of PBM. We’re reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.

We know that people make all the difference. If you’re ready for a purpose-driven career and are passionate about simplifying health care, let’s build the future of pharmacy together.

Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard torace, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at email [e-mail].