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Senior Actuary

Acturhire

Senior Health Actuary Role In Pharmacy Benefits PricingPricing partner to underwriting. Closer to a pricing and commercial partner than a modelling-heavy IC because sales, client consultation, and contract discussions are core to the position.Senior Health actuary role in pharmacy benefits pricing for self-insured employers, based in Norwich, Vermont or Austin, Texas. You'll build pricing, trend, formulary, rebate, reserving, and reporting models; advise leadership and clients; and support sales proposals. The role requires an ASA, MAAA membership, and 5+ years of actuarial experience, including 3+ years in PBM pricing.Tools: ExcelDomain: Pharmacy benefits pricing (AWP, MAC, dispensing fees, rebate guarantees) PBM pricing and pharmacy benefit program management Pharmacy cost and utilization trend forecasting Formulary and rebate modeling, specialty pharmacy economicsMust have:ASA designationMinimum 3 years focused on pharmacy benefits/PBM pricingStrongly preferred:MAAA membership5+ years of relevant actuarial experienceBachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or related quantitative fieldAdvanced Excel skillsExperience manipulating large healthcare datasets using SQL, SAS, Python, or RDeep understanding of pharmacy pricing mechanics (AWP, WAC, MAC)Knowledge of drug pipeline impacts, rebate aggregators, and specialty pharmacy economicsCollaborative and humble team behaviorEntrepreneurial resourcefulnessCuriosity, problem-solving drive, and desire to learn

Vacancy posted 5 days ago
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