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Actuary - Rx Strategy & Pricing Jobs (Remote work)

4 Job Offers

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Head of Actuary, Pricing & Portfolio Strategy
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United States , New York
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350000.00 - 450000.00 USD / Year
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hyperexponential
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Sales Development Representative
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United States , New York
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60000.00 - 70000.00 USD / Year
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hyperexponential
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Founding Actuarial Model Developer
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United States , New York
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147500.00 - 157500.00 USD / Year
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hyperexponential
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Senior Principal, Risk & Captive Management
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United States
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188000.00 - 235000.00 USD / Year
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Embark on a rewarding career at the intersection of healthcare, finance, and data science by exploring Actuary - Rx Strategy & Pricing jobs. This specialized profession sits at the core of the pharmaceutical and health insurance industries, where professionals use advanced analytical techniques to shape the financial landscape of prescription drug coverage. Actuaries in this field are not just number crunchers; they are strategic thinkers who decipher the complex story told by healthcare data to forecast costs, manage risk, and design sustainable prescription drug plans for millions of members. Their work directly influences the affordability and accessibility of medications, making them pivotal players in the healthcare ecosystem. Professionals in these roles typically engage in a wide array of responsibilities. A primary function is the development and maintenance of sophisticated pricing models for Medicare Part D, commercial, and other pharmacy benefit plans. This involves analyzing vast datasets on drug utilization, provider prescribing patterns, and market trends to predict future claims and set appropriate premiums. They are also deeply involved in strategic analysis, evaluating the financial impact of new drugs, formulary changes, and contract negotiations with Pharmacy Benefit Managers (PBMs). Common tasks include performing actuarial valuations, calculating reserves, ensuring regulatory compliance, and presenting complex financial findings to non-technical stakeholders to guide critical business decisions. They are the key advisors on the financial viability and strategic direction of pharmacy benefits. To excel in Actuary - Rx Strategy & Pricing jobs, a specific skill set is required. A strong foundation in mathematics, statistics, and probability is non-negotiable. Candidates typically pursue professional certification through the Society of Actuaries (SOA), passing a series of rigorous exams that demonstrate expertise in actuarial science, with a focus on health and pharmaceuticals. Proficiency with data analysis software like SQL, SAS, R, or Python is essential for manipulating and interpreting large datasets. Beyond technical prowess, successful actuaries possess sharp business acumen, excellent communication skills to explain complex concepts, and a deep understanding of the US healthcare system, including the intricacies of Medicare Part D. If you are a problem-solver with a passion for analytics and a desire to impact public health, exploring Actuary - Rx Strategy & Pricing jobs could be your next career move. This field offers a unique opportunity to apply quantitative skills to solve some of the most pressing challenges in modern healthcare, providing a stable, well-compensated, and intellectually stimulating career path with a clear professional trajectory.

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