Senior Actuarial Analyst - REMOTE

Posted 5 Days Ago
Be an Early Applicant
Hiring Remotely in Home, PA, USA
In-Office or Remote
94K-160K Annually
Senior level
Insurance
The Role
Build, maintain, and lead complex actuarial and pricing models and data analyses for commercial, Medicare, and Medicaid business; support RFPs, present findings to stakeholders, mentor actuarial staff, and ensure work meets actuarial standards.
Summary Generated by Built In

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

Senior Actuarial Analyst - REMOTEJob Description

The Senior Actuarial Analyst is responsible for providing complex actuarial and pricing analyses to Prime’s existing and potential clients. This role will use, build, and develop innovative actuarial modeling concepts to assist strategically on trend, benefit design and pricing support for all Prime’s lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial support in complex projects that are highly visible to senior leadership and across the organization.

Responsibilities

  • Own, build, support, and maintain financial and complex actuarial models
  • Lead, perform, and review data analyses, reporting, and projections
  • Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts
  • Collaborate with Underwriters, other areas of Prime, and senior leaders on pricing initiatives, data analyses, and the RFP process
  • Present results and analyses to key stakeholders, senior management, and clients
  • Mentor Actuarial team members to enhance actuarial knowledge
  • Ensure work is consistent with actuarial standards, as applicable
  • Other duties as assigned

Minimum Qualifications

  • Bachelor’s degree in Math, Actuarial Science, Economics or Finance
  • 5 years of actuarial work experience to include 3 years in a healthcare organization or PBM
  • Actuarial designation (ASA or FSA)
  • Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

  • Advanced level of proficiency in Excel; intermediate level of proficiency in SAS, SQL, or VBA
  • Excellent quantitative, problem solving, and analytical skills
  • Self-motivated with the ability to balance and follow-up on multiple projects with attention to details
  • Excellent verbal and written communication skills
  • Excellent presentation skills
  • Strong project management and organizational skills

Preferred Qualifications

  • 5 years of actuarial work experience in a healthcare organization or PBM
  • Previous experience pricing Commercial, Medicare or Medicaid lines of businesses
  • 3 years of experience in SAS, SQL, or VBA
  • Previous experience in model development
  • Previous experience building and/or improving actuarial models or processes

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 $94,000.00 - $160,000.00 based on experience and skills.

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

Prime Therapeutics LLC is 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.

Skills Required

  • Bachelor's degree in Math, Actuarial Science, Economics or Finance
  • 5 years of actuarial work experience to include 3 years in a healthcare organization or PBM
  • Actuarial designation (ASA or FSA)
  • Must be eligible to work in the United States without need for work visa or residency sponsorship
  • Advanced level of proficiency in Excel
  • Intermediate level of proficiency in SAS, SQL, or VBA
  • Excellent quantitative, problem solving, and analytical skills
  • Excellent verbal and written communication skills
  • Excellent presentation skills
  • Strong project management and organizational skills
  • 5 years of actuarial work experience in a healthcare organization or PBM
  • Previous experience pricing Commercial, Medicare or Medicaid lines of business
  • 3 years of experience in SAS, SQL, or VBA
  • Previous experience in model development
  • Previous experience building and/or improving actuarial models or processes

Prime Therapeutics Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Prime Therapeutics and has not been reviewed or approved by Prime Therapeutics.

  • Healthcare Strength Health coverage is described as comprehensive, with medical, dental, and vision options and plan designs that include low deductibles for some choices. Wellness screenings and related incentives add perceived value to the health offering.
  • Retirement Support Retirement benefits stand out through a 401(k) match that is characterized as generous and immediately vested. This structure improves the overall long-term value of the total rewards package.
  • Strong & Reliable Incentives Annual incentive bonuses are positioned as a meaningful component of total compensation and are often portrayed as substantial when performance goals are met. Incentive eligibility appears broadly available across roles, boosting the perceived completeness of rewards.

Prime Therapeutics Insights

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Eagan, MN
3,577 Employees
Year Founded: 1987

What We Do

Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years. In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US. In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products: • NetResults™ • Specialty Drug Management • Best in Care™ • GuidedHealth® • Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations • Prime Analytics™ • CareCentered Contracting™Controlled Substance Management Program Join us! Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career. At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact. Follow Prime on LinkedIn to learn more.

Similar Jobs

At-Bay Logo At-Bay

Senior Actuarial Analyst, Pricing (Remote)

Information Technology • Insurance • Professional Services • Software • Cybersecurity
Remote or Hybrid
US
230 Employees
120K-135K Annually

Inspiren Logo Inspiren

Platform Engineer

Artificial Intelligence • Hardware • Healthtech • Software
Easy Apply
In-Office or Remote
3 Locations
150 Employees
180K-200K Annually

Vannevar Logo Vannevar

InfoSec Engineer - Compliance (ATO)

Artificial Intelligence • Machine Learning • Software • Defense
Remote
USA
225 Employees

Vannevar Logo Vannevar

Mission Systems Director

Artificial Intelligence • Machine Learning • Software • Defense
Remote
USA
225 Employees
250K-500K Annually

Similar Companies Hiring

Globe Life Thumbnail
Insurance • Financial Services
McKinney, TX
3000 Employees
MassMutual India Thumbnail
Big Data • Fintech • Information Technology • Insurance • Financial Services
Hyderabad, Telangana
Granted Thumbnail
Mobile • Insurance • Healthtech • Financial Services • Artificial Intelligence
New York, New York
23 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account