Strategic Actuarial Services Director
3 weeks ago
At Prime Therapeutics, we are seeking a highly skilled and experienced Strategic Actuarial Services Director to lead our team of actuaries in providing strategic pricing direction and thought leadership to our clients across all lines of business.
The successful candidate will be responsible for providing 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 will work closely with Finance and functional departments on current and projected product and transactional costs and pricing strategy, as applicable.
The Strategic Actuarial Services Director will also directly facilitate 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
- 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
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