Lead Actuary – Pharmacy Pricing

Job Description:

• 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

Requirements:

• Bachelor’s degree in Math, Actuarial Science, Economics or Finance
• 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

Benefits:

• To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail

Apply tot his job Apply To this Job