Associate Director, Medicare Part D Actuarial & Formulary Analysis
Optum
Associate Director, Medicare Part D Actuarial & Formulary Analysis
Eden Prairie, Minnesota, United States · Hybrid · Yesterday
- Salary
- $113k - $193k
- Experience
- 5+ Years
Role Summary
Role type
Specialist in a large health insurer
Closer to a large-carrier specialist role than a generalist or consulting role—the remit is deeply concentrated in Medicare Part D pharmacy economics and formulary strategy.
Senior Health actuarial leadership role in Eden Prairie, Minnesota, focused on Medicare Part D formulary strategy, pharmacy economics, benefit design, and regulatory analysis. You will build forecasts and financial models for drug pipelines, utilization, rebates, trend, and plan profitability, while advising senior leaders and cross-functional teams. The role is hybrid, with four office days weekly for Minneapolis-area hires, and offers a salary of $112,700-$193,200.
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