Pharmacy Actuary
Lockton
- Salary
- $112k - $143kest.
- Experience
- 5+ Years
Role Summary
Role type
Pricing partner to pharmacy strategy
Closer to a pricing and procurement partner than a pure modelling role because vendor economics and contract decisions shape the analysis.
Senior Health Actuary role in Kansas City focused on pharmacy benefits, PBM strategy, pricing, and financial projections. You will model vendor proposals and contracts, assess pharmacy trends and risks, and advise Pharmacy and Health Actuarial teams and other stakeholders.
Requirements
Must have
- ASA designation
- Minimum of five years of actuarial or financial analytics experience within a PBM
Strongly preferred
- Demonstrated knowledge of PBM pricing, contracts, guarantees, rebate arrangements, formulary strategies, and pharmacy benefit procurement
- Strong understanding of pharmacy utilization and trend, specialty pharmaceuticals, pipeline therapies, and relevant regulatory and market developments
- Experience developing or overseeing actuarial models, forecasting tools, financial analyses, and management reporting
- Strong analytical and problem-solving skills
- Ability to translate complex contractual and pharmacy concepts into clear actuarial assumptions for technical and nontechnical audiences
- Strong cross-functional collaboration skills
- Proficiency with relevant actuarial, data analysis, modeling, and reporting tools
Nice to have
- FSA designation
Skills & Domain
DomainPharmacy benefit manager (PBM) pricingPBM contract negotiationsPharmacy trend and specialty drug analysisMedicare Part D340B Drug Pricing Program
