Overview
This role supports Self-Funded EGWP clients by applying actuarial and analytical skills to complex Medicare Part D and pricing-related business questions. Responsibilities include developing projections, analyzing business performance, evaluating the impact of evolving Medicare Part D regulations, and conducting Book of Business (BOB) studies to support client and enterprise decision-making. The position requires strong communication skills to translate technical concepts and regulatory changes for internal stakeholders and client-facing teams.
Responsibilities
- Help develop pricing strategies and money-saving options that align with customer needs
- Support analysis related to Medicare Part D reform and help educate business partners on potential impacts
- Partner with Underwriting, Sales, and Account teams on complex new business and renewal cases
- Meet with clients, as needed, to explain economic implications and pricing considerations
- Complete and/or oversee studies used to set assumptions in pricing models
- Deliver timely, accurate, and high-quality analyses and recommendations
- Work independently while collaborating effectively across teams
- Identify issues that could materially affect financial results and develop sound, unbiased recommendations
- Apply technical expertise and critical thinking to solve business problems
- Mentor less experienced team members and support team development
Requirements
- Bachelor’s Degree required
- 3+ years of actuarial, statistics, or programming, and/or relevant finance background, including:
- Strong communication skills
- Strong analytical skills
Preferred Qualifications
- Coding experience
- Knowledge of pharmacy benefits and formularies
Compensation & Benefits
- Typical pay range: $101,970.00 - $203,940.00
- The actual base salary offer will depend on factors including experience, education, geography, and other relevant factors
- Eligible for a bonus, commission, or short-term incentive program in addition to the base pay range listed above
- Full-time benefits package (based on eligibility) may include:
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources
Location
- Not specified in the provided description.
Schedule
- Anticipated weekly hours: 40
- Time type: Full time
Additional Information
- The application window for this opening is anticipated to close on: 11/30/2026
- Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.