Senior Director, Actuarial Forecasting

This is a fully remote position, open to applicants in United States.

📋 Description

• Manage a team of actuaries delivering strategic pricing guidance on methodologies and structures.

• Utilize market analysis, financial forecasting, and sophisticated actuarial modeling.

• Collaborate with underwriters, client engagement teams, and senior leadership during RFP processes and in pricing and risk management initiatives.

• Create and sustain forecasting assumptions related to utilization, unit costs, benefit design, and regulatory changes.

• Supervise pricing processes and provide recommendations.

• Partner with Finance and other functional departments on current and future product and transactional costs and pricing strategies.

• Establish scalable processes and robust controls for deliverables, adhering to actuarial standards of practice.

• Lead negotiations and presentations, simplifying complex concepts for diverse audiences.

• Oversee the department’s budget, staffing, performance, and development.

• Exemplify Prime's leadership expectations with direct reports, cross-functional teams, and external stakeholders.

• Execute additional duties as assigned.

⛳️ Requirements

• A Bachelor’s degree in Mathematics, Actuarial Science, Economics, Computer Science, Data Science, or a related field, or a comparable combination of education and/or relevant experience.

• A high school diploma from an accredited institution or an equivalent GED is mandatory.

• A minimum of 10 years of actuarial experience, with at least 5 years in the healthcare or PBM sector.

• A minimum of 7 years of leadership experience.

• Possession of an actuarial designation (ASA or FSA).

• Must be eligible to work in the United States without requiring a work visa or residency sponsorship.

• Exceptional quantitative, analytical, and problem-solving abilities.

• Capability to manage multiple complex projects concurrently without sacrificing quality.

• Strong client consulting skills and the ability to convey complex information clearly.

• Effective communication with senior leaders throughout the organization.

• Experience in identifying, designing, proposing, and executing efficient, innovative business solutions for clients’ intricate pharmacy benefit issues.

• Deep understanding of pharmacy plan design.

• Must adhere to security responsibilities, relevant legal, regulatory, and contractual obligations, as well as internal policies and procedures.

• Ability to perform the essential functions of the position; reasonable accommodations may be provided upon request.

🏝️ Benefits

• Benefits, incentives, and additional compensation are available; specifics can be found on the employer's Benefits Page.

• An equal opportunity and affirmative action employer.

• Reasonable accommodations for employees with disabilities.

• Tobacco-Free Workplace.