← All Jobs
Posted May 12, 2026

Lead Actuary – Pharmacy Pricing

Apply Now
Job Description: • 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 Requirements: • 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 • 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 Benefits: • To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail Apply tot his job Apply To this Job