Pharmacy Financial/Actuarial Associate Director (Remote)
RemoteCommercial Employer HealthPricing & RatingProduct Development & Plan DesignUW Support & Portfolio Management
Role Summary
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Associate Director role in Health focused on pharmacy financials and actuarial/pricing work. You’ll lead pricing and valuation analyses for large-group pharmacy benefit programs, advise clients on PBM contracts and financial guarantees, and manage project delivery and junior staff. Remote role based in/near Cleveland, OH with hybrid flexibility noted.
JOB DESCRIPTION SUMMARY
- Lead pricing and financial analyses for large-group pharmacy benefit programs
- Advise clients on PBM contracts, adjudication, reconciliation and financial guarantees
- Serve as project lead and mentor junior pharmacy financial colleagues
- Use Excel and PowerPoint for modelling and client deliverables
- Remote position (title indicates Remote); firm describes a hybrid working approach
DOMAIN EXPERTISE
- design/management of large-group pharmacy benefit plans
- pharmacy pricing, underwriting or valuation
- PBM pricing models and adjudication/reconciliation logic
- review and negotiation of pharmacy vendor contracts and guarantees
KEY REQUIREMENTS
- 6+ years designing/managing large-group pharmacy benefit plans in consulting, brokerage, PBM or carrier
- Bachelor’s degree required with quantitative coursework
- Strong financial skills; pharmacy pricing, underwriting or valuation experience preferred
- State Life and Health license required within 90 days of joining
- Excellent Excel and PowerPoint skills and strong client communication
TECH STACK
- Excel
- PowerPoint
