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 TitleSenior Principal Actuary - REMOTEJob DescriptionThe Senior Principal Actuary is responsible for providing actuarial direction and thought leadership to Prime’s existing and potential owners and clients. This position will create innovative actuarial modeling concepts and provide strategic consulting both in support of all lines of business. This position will also play a key role in the creation of innovative pricing strategies and influencing senior leadership to adopt new ideas and approaches.
Responsibilities
- Collaborate as a subject matter expert and change agent with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the RFP process
- Lead, manage and review ad hoc complex pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts
- Provide expert strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling
- Lead, manage and review data analyses, reporting, and projections
- Present results and analyses to key stakeholders, executives, and clients; answer detailed and challenging questions regarding actuarial data, and provide compelling evidence to influence decision making
- Lead and mentor Actuarial staff, including the management and maintenance of actuarial testing program standards and application
- Monitor the Health Policy environment considering the implication of organization pricing policies, law, and political changes that may impact client programs
- Ensure work is consistent with federal regulations and actuarial standards, as applicable
- Other duties as assigned
Minimum Qualifications
- Bachelor’s degree in Math, Actuarial Science, Economics or Finance
- 10 years of actuarial work 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
- Advanced level of proficiency in Excel; intermediate level of proficiency in SAS, SQL, or VBA
- Superior quantitative, problem solving, and analytical skills
- Strong project management and organizational skills
- Strong client consulting presence
- Excellent presentation and facilitation skills with the ability to influence leaders at all levels of the organization
Preferred Qualifications
- 10 years of actuarial work experience in a healthcare organization or PBM
- Previous experience pricing Commercial, Medicare or Medicaid lines of businesses
- Previous experience in underwriting or risk adjusted rate setting
- Management/People leadership experience
- Previous experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients’ complex pharmacy benefit challenges
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 $143,000.00 - $243,000.00 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.
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.
