Sr. Director Actuarial Forecasting - REMOTE

Our work matters. We help people get the medicine they need to feel better and live well.  We do not lose sight of that. It fuels our passion and drives every decision we make.

The Senior Director of Actuarial Forecasting leads a team of actuaries responsible for providing strategic pricing direction and thought leadership to Prime’s existing and potential owners and clients across all lines of business through the creation and use of innovative actuarial modeling concepts. This position will provide direct oversight to both the rebate and trend projection process, including recommendations around all forecast/prospective trend assumptions across all of Prime’s business lines. This position works directly with Finance and functional departments on current and projected product and transactional costs and pricing strategy, as applicable. The position also directly facilitates the development of Prime’s Financial Value Statement.

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 management on RFP process and other pricing initiatives related to all lines of business
• Engages with functional leadership to develop and maintain projected trend assumptions related to utilization, unit cost, and gross/net rebate assumptions
• Owns the annual client administrative pricing assumptions and model (owner pricing model)
• 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

Education & Experience

• Bachelor’s degree in Math, Actuarial Science, Economics, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
• ASA or FSA designation
• 10 years of actuarial work experience at a health plan or PBM
• 7 years of leadership experience
• Must be eligible to work in the United States without 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

Physical Demands

• Ability to travel up to 20% of the time
• Constantly required to sit, use hands to handle or feel, talk and hear
• Frequently required to reach with hands and arms
• Occasionally required to stand, walk and stoop, kneel, and crouch
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

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.

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 (pregnancy, sexual orientation, and gender identity), 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.