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2 дня назад

Associate Actuary, Pricing (Medicare Part D)

106 900 - 147 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Associate Actuary, Pricing (Medicare Part D): Developing pricing assumptions, utilization projections, and pricing tools for Medicare Part D bids with an accent on pharmacy cost trends, claims analysis, and benefit cost modeling. Focus on forecasting drug utilization, evaluating new drug launches and regulatory impacts, and communicating analytical recommendations to pricing, clinical, pharmacy, formulary, and finance stakeholders.

Location: Remote nationwide within the United States; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $106,900–$147,000 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and insurance company serving members through Medicare, Medicaid, insurance, and healthcare services.

What you will do

  • Set pricing assumptions and develop Medicare Part D bids.
  • Provide guidance on new product and benefit cost impacts.
  • Develop and maintain pricing tools for standard and custom benefits.
  • Analyze claims experience, utilization patterns, member behavior, and market dynamics to forecast pharmacy costs.
  • Monitor drug launches, loss of exclusivity events, clinical guideline changes, and regulatory impacts.
  • Communicate utilization findings and recommendations to pricing, forecasting, clinical, pharmacy, formulary, finance, and leadership stakeholders.

Requirements

  • Bachelor's degree.
  • Associate of Society of Actuaries (ASA) designation.
  • MAAA.
  • Strong analytical, communication, and interpersonal skills.
  • Ability to explain complex topics to technical and non-technical audiences.
  • Ability to work remotely nationwide within the United States; a dedicated workspace and internet service with at least 25 Mbps download and 10 Mbps upload are required.

Nice to have

  • Three or more years of pricing, Medicare, and/or Part D experience.
  • Experience with SAS, SQL, R, or Databricks.
  • Experience with Power BI dashboards, model building, exploratory analysis, or dashboard development.
  • Motivation to learn and develop subject-matter expertise.

Culture & Benefits

  • Full-time schedule of 40 hours per week.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off, company and personal holidays, and paid parental and caregiver leave.
  • Short- and long-term disability, life insurance, and other wellness benefits.

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