Prime Therapeutics - Salt Lake City, UT

posted 3 months ago

Full-time - Mid Level
Remote - Salt Lake City, UT
Administrative and Support Services

About the position

The Senior Actuary is responsible for providing complex actuarial and pricing analyses to Prime's existing and potential clients. This role will utilize, build, and develop innovative actuarial modeling concepts to assist strategically on trend, benefit design, and pricing support for all Prime's lines of business, which include commercial, Medicare, and Medicaid. The Senior Actuary will also provide actuarial support in complex projects that are highly visible to senior leadership and across the organization. This position is crucial in ensuring that the actuarial work aligns with the company's goals and standards, contributing to the overall mission of helping people get the medicine they need to feel better and live well. In this role, the Senior Actuary will own, build, support, and maintain financial and complex actuarial models. They will lead, perform, and review data analyses, reporting, and projections, ensuring that the results are accurate and actionable. The Senior Actuary will also lead complex ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts. Collaboration is key, as this role will require working closely with Underwriters, other areas of Prime, and senior leaders on pricing initiatives, data analyses, and the RFP process. Presenting results and analyses to key stakeholders, senior management, and clients is a critical aspect of this position, as is mentoring actuarial team members to enhance their actuarial knowledge. The Senior Actuary must ensure that all work is consistent with actuarial standards, as applicable, and will be expected to perform other duties as assigned. This position is designed for a highly skilled individual who is self-motivated, detail-oriented, and capable of managing multiple projects simultaneously while maintaining high standards of quality and accuracy.

Responsibilities

  • Own, build, support, and maintain financial and complex actuarial models
  • Lead, perform, and review data analyses, reporting, and projections
  • Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts
  • Collaborate with Underwriters, other areas of Prime, and senior leaders on pricing initiatives, data analyses, and the RFP process
  • Present results and analyses to key stakeholders, senior management, and clients
  • Mentor Actuarial team members to enhance actuarial knowledge
  • Ensure work is consistent with actuarial standards, as applicable
  • Other duties as assigned

Requirements

  • Bachelor's degree in Math, Actuarial Science, Economics or Finance
  • 5 years of actuarial work experience to include 3 years in a healthcare organization or PBM
  • Actuarial designation (ASA or FSA)
  • Must be eligible to work in the United States without need for work visa or residency sponsorship
  • Advanced level of proficiency in Excel; intermediate level of proficiency in SAS, SQL, or VBA
  • Excellent quantitative, problem solving, and analytical skills
  • Self-motivated with the ability to balance and follow-up on multiple projects with attention to details
  • Excellent verbal and written communication skills
  • Excellent presentation skills
  • Strong project management and organizational skills

Nice-to-haves

  • 5 years of actuarial work experience in a healthcare organization or PBM
  • Previous experience pricing Commercial, Medicare or Medicaid lines of businesses
  • 3 years of experience in SAS, SQL, or VBA
  • Previous experience in model development
  • Previous experience building and/or improving actuarial models or processes

Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • 401k
  • 401k matching
  • Paid holidays
  • Paid time off
  • Flexible scheduling
  • Professional development
  • Tuition reimbursement
  • Employee discount programs
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