Job Overview
Location
Home
Job Type
Full-time
Category
Product Management
Date Posted
June 3, 2026
Full Job Description
📋 Description
- • Lead complex pharmacy pricing and rebate guarantee analyses for Prime’s existing and prospective clients, ensuring accurate and strategic financial modeling.
- • Serve as the primary subject matter expert on pharmacy pricing and rebate structures, collaborating with Underwriting, Clinical, Trade, Legal, Sales, and senior leadership teams.
- • Develop, review, and deliver advanced actuarial models and projections that inform client-specific pricing recommendations and market strategy.
- • Execute ad hoc analyses of pharmacy data to evaluate rebate performance, assess market events, and compare actual results against expected outcomes.
- • Provide strategic guidance on formulary methodology and rebate design using market research, financial modeling, and regulatory insights.
- • Present analytical findings and pricing recommendations to senior stakeholders and clients, confidently addressing detailed and challenging inquiries.
- • Lead high-impact, cross-functional workstreams requiring strong judgment, prioritization, and accountability across multiple departments.
- • Mentor and provide technical guidance to Analysts and junior Actuaries, fostering professional growth and ensuring adherence to actuarial standards.
- • Monitor evolving health policy, regulatory changes, and market trends, and assess their implications for pharmacy pricing strategy and compliance.
- • Ensure all analyses and recommendations comply with federal regulations and professional actuarial standards.
- • Perform other duties as assigned to support the strategic objectives of the Pharmacy Pricing team.
🎯 Requirements
- • Bachelor’s degree in Math, Actuarial Science, Economics, or Finance, or equivalent combination of education and relevant work experience; HS diploma or GED required
- • 8 years of actuarial work experience, including 6 years within a healthcare organization or PBM
- • Actuarial designation (ASA or FSA)
- • Must be eligible to work in the United States without need for visa or residency sponsorship
- • Advanced proficiency in Excel; working knowledge of SAS, SQL, or VBA
- • Strong analytical and problem-solving skills with ability to navigate ambiguity and manage multiple complex priorities under tight deadlines
🏖️ Benefits
- • Potential pay range of $124,000.00 - $211,000.00 based on experience and skills
- • Comprehensive benefits package including health, dental, vision, retirement, and paid time off (details available on Prime Therapeutics Benefits Page)
- • Opportunities for professional development and mentorship within a purpose-driven organization
- • Remote work arrangement with no required office attendance
- • Equal opportunity and affirmative action employer with inclusive hiring practices
- • Tobacco-free workplace policy
Skills & Technologies
About Prime Therapeutics LLC
Prime Therapeutics LLC is a pharmacy benefit management company founded in 1989 and headquartered in Eagan, Minnesota. It administers prescription drug plans on behalf of health plans, employers, and government programs, processing claims, negotiating rebates, managing formularies, and operating specialty pharmacies. Owned by a consortium of Blue Cross and Blue Shield plans, the company serves over 40 million members nationwide while focusing on cost control, clinical outcomes, and member safety.
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