Associate Actuary, Pricing

Overview

This Associate Actuary, Pricing role supports Medicare Part D bids by setting pricing assumptions and providing guidance to Product Development on new product and benefit cost impacts. Responsibilities include developing and maintaining pricing tools that price standard and custom benefits, as well as producing projections of drug utilization trends for Medicare Part D products to support pricing, forecasting, bid development, and strategic decision-making.

Responsibilities

• Analyze historical claims experience, emerging utilization patterns, member behavior, and market dynamics to identify key drivers of pharmacy cost trends and forecast future utilization at the drug, therapeutic class, and product levels.
• Leverage actuarial models, experience studies, and analytical tools to research root causes of utilization changes and capture actionable insights.
• Collaborate with pricing, forecasting, clinical, pharmacy, formulary, and finance teams to ensure utilization assumptions appropriately reflect emerging experience, operational initiatives, and industry developments.
• Monitor external factors, including new drug launches, loss of exclusivity events, clinical guideline changes, and regulatory impacts, to assess their influence on future utilization patterns.
• Communicate findings and recommendations to business partners and leadership to support sound forecasting and strategic planning decisions.
• Begin to influence department strategy through subject matter expertise in Medicare Part D utilization trends.

Required Qualifications

• Bachelor’s Degree
• Associate of Society of Actuaries (ASA) designation
• MAAA
• Excellent communication and interpersonal skills, including the ability to translate complex topics to both technical and non-technical audiences
• Strong analytical skills

Preferred Qualifications

• Three or more years of Pricing, Medicare and/or Part D experience
• SAS/SQL/R/Databricks programming experience
• Experience with Power BI dashboards
• Experience with model building, exploratory analysis, and/or developing dashboards
• Highly motivated and willing to learn

Compensation & Benefits

• Pay range (starting base pay estimate for full time, 40 hours per week): $106,900 - $147,000 per year
• Eligible for a bonus incentive plan (based on company and/or individual performance)
• Benefits include:
  • Medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Time off, including paid time off, company and personal holidays, paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Other opportunities to support whole-person well-being

Location

• Remote position
• Work at Home requirements:
  • Self-provided internet service must meet minimum criteria: download speed of 25 Mbps and upload speed of 10 Mbps
  • Wireless, wired cable, or DSL connection is suggested
  • In certain roles, the minimum recommended internet speed required may not be sufficient; the employer reserves the right to require associates to upgrade their internet service if necessary
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• Travel: While remote, occasional travel to offices for training or meetings may be required

Schedule

• 40 scheduled weekly hours

Application Deadline

• 09-18-2026