Associate Actuary (Medicare Pharmacy Trend Analytics) - CarelonRx
Core
Subject matter expert for Medicare pharmacy spend and trend performance, providing insights to influence pricing strategy, product design, and financial forecasting.
Role type
Associate Actuary (Medicare Pharmacy Trend Analytics)
Builds
Pricing strategies, product designs, financial forecasts, and risk management models for Medicare Part B and Part D.
Domain
Healthcare / Pharmacy Benefit Management / Actuarial Science
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Medicare Part B and Part D pharmacy spend analysis, cohort studies, benefit phase analysis, experience-rating formulae development, risk-sharing model creation, financial variance interpretation, legislative impact evaluation (e.g., Inflation Reduction Act), data visualization, SQL, Python, Databricks, Snowflake, Power BI
Preferred skills
Pharmacy Benefit Management (PBM) experience, Medicare Part D experience, analyzing Medicare Part B drug spend and trend, interpreting pharmacy financial performance, working with large healthcare claims datasets
Technologies
Databricks, SQL, Python, Snowflake, Power BI
Responsibilities
Prepare and present Medicare Part D and Part B drug spend and trend analyses, deliver actionable insights through recurring trend reporting and ad hoc analyses, perform new product pricing and flexible benefit consulting, design special projects like experience-rating formulae and risk-sharing models, provide recommendations on pricing and product design, support valuation by interpreting financial results and variances
Seniority
Associate, individual contributor
