Associate Director, Medicare Part D Actuarial & Formulary Analysis
UnitedHealth Group
Associate Director, Medicare Part D Actuarial & Formulary Analysis
Eden Prairie, Minnesota, United States · Hybrid · 3w ago
- Salary
- $113k - $193k
- Experience
- 5+ Years
Role Summary
Role type
Specialist in a large insurer
Closer to a big-carrier specialist than a modelling-heavy individual contributor because the work shapes enterprise formulary decisions across many healthcare functions.
Senior Health actuarial leadership role in Medicare Part D and pharmacy economics, based in Eden Prairie, Minnesota, with remote work available elsewhere in the U.S. You’ll lead formulary strategy, benefit design analysis, drug pipeline forecasting, CMS impact analysis, and financial modeling while advising executives and cross-functional teams.
Requirements
Strongly preferred
- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, Finance, Pharmacy, or a related quantitative discipline
- 5+ years of experience in actuarial, pharmacy analytics, healthcare economics, or Medicare Part D analytics
- Experience with Medicare Part D, pharmacy benefit economics, formulary strategy, or health-plan actuarial analysis
- Experience translating complex quantitative analyses into clear recommendations for senior leadership
- Solid knowledge of Medicare Part D benefit design, CMS requirements, pharmacy trend, utilization, and drug pricing
- Proven advanced financial modeling and analytical skills
- Proven solid leadership, communication, and presentation skills
Nice to have
- ASA/FSA designation or significant progress toward actuarial credentials
- Advanced Tableau programming experience
- Experience with formulary development, P&T processes, or pharmacy benefit management
- Experience forecasting specialty pharmaceuticals and emerging drug pipelines
- Knowledge of CMS bid development, Part D pricing, risk adjustment, and plan financial forecasting
Skills & Domain
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