Director of Actuarial Pricing Strategy - Remote
RemoteCommercial Employer HealthMedicaidHealth OtherPricing & RatingUW Support & Portfolio Management
Role Summary
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Director-level Health actuarial pricing role focused on PBM (Commercial, Medicare Part D, Medicaid) pricing strategy. You will set pricing direction, translate underwriting model outputs into defensible pricing recommendations, and partner with sales, underwriting, and finance. Remote within the U.S. with Minneapolis/DC hires required in-office four days/week.
JOB DESCRIPTION SUMMARY
- Lead PBM pricing strategy across Commercial, Medicare Part D, and Medicaid
- Translate underwriting model outputs into competitive, risk-balanced pricing
- Partner with sales, underwriting, finance, and external consultants
- Remote role (U.S.); Minneapolis/DC hires required in-office four days/week
- Director level — ASA required; Excel and SQL proficiency expected
DOMAIN EXPERTISE
- Pharmacy or healthcare actuarial experience
- Experience with PBM pricing or PBM settings
- Experience analysing large healthcare claims datasets
- Experience influencing or leading pricing decisions
KEY REQUIREMENTS
- ASA credential required
- 5+ years actuarial experience in Pharmacy or Healthcare settings
- 3+ years analysing and manipulating large healthcare claims datasets
- Proficiency in Excel and SQL
- Demonstrated experience leading or influencing pricing decisions
TECH STACK
- Excel