Actuary

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. Lead Actuary – Pharmacy Pricing – REMOTE Job Description The Lead Actuary – Pharmacy Pricing leads complex pharmacy pricing and rebate guarantee analyses for Prime’s existing and prospective clients. This role partners closely with senior leaders to deliver client-specific pricing recommendations, navigate market-driven uncertainty, and translate complex analyses into clear, actionable insights. The position leads high-visibility initiatives and mentors actuarial team members. Key Responsibilities Serve as a subject matter expert on pharmacy pricing and rebate guarantees, partnering with Underwriting, Clinical, Trade, Legal, Sales, and senior leadership Lead the development, review, and delivery of complex pricing analyses, projections, and actuarial models Own and execute ad hoc pharmacy data analyses to evaluate rebate performance, market events, and actual‑to‑expected results Provide strategic pricing guidance on formulary methodology and rebate structures using market research and financial modeling Present analyses and recommendations to senior stakeholders and clients; respond to detailed, challenging questions with confidence Lead high-impact, cross-functional workstreams that require strong judgment, prioritization, and accountability Mentor and support Analysts and junior Actuaries through technical guidance and ongoing feedback Monitor health policy, regulatory, and market developments and assess implications for pricing strategy Ensure compliance with applicable federal regulations and actuarial standards Perform other duties as assigned Minimum Qualifications Bachelor’s degree in Math, Actuarial Science, Economics or Finance 8 years of actuarial work experience to include 6 years in a healthcare organization or PBM 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 proficiency in Excel; working knowledge of SAS, SQL, VBA, or similar tools Strong analytical and problem‑solving skills with the ability to work through ambiguity Ability to manage multiple complex priorities and deliver under tight timelines Clear, professional written and verbal communication skills Effective client‑facing and executive presentation skills Preferred Qualifications Experience pricing Commercial, Medicare, and/or Medicaid pharmacy benefits Demonstrated experience leading complex pricing or rebate-related initiatives Prior client‑facing experience supporting executive-level discussions Benefits and Compensation Potential pay for this position ranges from $124,000.00 to $211,000.00 based on experience and skills. View Benefits, Incentives, and Additional Compensation at the Benefits Page ( Equal Opportunity Employer Statement 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. Accommodation for Disabilities Prime Therapeutics retains the right to change or assign other duties to this job. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at View phone number on click.appcast.io or email View email address on click.appcast.io. #J-18808-Ljbffr