Prime Therapeutics

Sr. Director Actuarial Forecasting - Remote

Prime Therapeutics$164K — $279K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a related field or equivalent experience
  • 10 years of actuarial work experience, including 5 years in healthcare or PBM
  • 7 years of leadership experience
  • Actuarial designation (ASA or FSA)
  • Eligible to work in the U.S. without visa sponsorship

Responsibilities

  • Leads a team to provide strategic pricing advice using actuarial modeling
  • Collaborates with cross-functional teams on pricing and risk management
  • Engages with leadership to maintain forecasting assumptions
  • Develops processes to ensure quality control of actuarial work
  • Leads negotiations and simplifies complex concepts for diverse audiences
  • Manages department budget and performance standards
  • Handles additional duties as assigned

Benefits

  • Comprehensive benefits package
  • Career development and training opportunities
  • Remote work flexibility
  • Opportunities for leadership within the organization
  • Access to health and wellness programs
Full Job Description
Job Posting Title

Sr. Director Actuarial Forecasting - RemoteJob 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 and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

About Prime Therapeutics

Prime Therapeutics is a pharmacy benefit management company that serves health plans, employers, and government programs. The company was founded in 1998 and is headquartered in Eagan, Minnesota. Prime Therapeutics manages prescription drug benefits for more than 30 million people across the United States. The company's services include claims processing, formulary management, and clinical programs. Prime Therapeutics is owned by 18 Blue Cross and Blue Shield health plans. In 2017, the company reported revenue of $5.3 billion.
Learn more about Prime Therapeutics
Size
4,000 employees
Industry
Founded
1990

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