Pharmacy Benefits Actuarial Consultant

We are seeking a talented individual to join our Pharmacy Benefits Management practice at Mercer in one of our office locations. This role is based in a hybrid environment, requiring at least three days a week in the office.

About the role

As a Pharmacy Benefits Actuarial Consultant, you will serve as a senior resource to the Actuarial and Financial Group (AFG), reviewing policy and modeling issues including pharmacy trends. You will lead consulting engagements with large employers regarding the financial evaluation of pharmacy benefit plans and programs and assist in negotiations with benefits carriers and vendors to secure plan coverage.

Responsibilities

• Manage pharmacy projects and junior staff in completion of program review, financial assessments, implementations, plan design analyses, financial projections, pharmacy renewals, benchmarking, pharmacy benefit marketing, diagnostic reports, vendor, and performance management.
• Establish effective carrier/vendor relationships to serve clients in benefits procurement and administration.
• Leverage Mercer's size and reputation to negotiate highly competitive rates and coverage options from carriers and vendors.
• Interact with members of the Managed Pharmacy Practice (MPP) client teams and Mercer H&B teams.
• Develop sophisticated benefits design and renewal strategies.
• Effectively communicate Mercer's position on the latest industry financial trends to clients and Mercer H&B consultants.
• Monitor success of projects in terms of scope, budget, timeliness, and client satisfaction.
• Incorporate compliance and professional standards into all work processes, including transparency, actuarial, peer review, and maintaining required licensure.
• Thrive in an environment that embraces AI and technology-enabled tools.

Requirements

• BA/BS degree required; master’s degree highly valued.
• 5+ years of experience in financial analysis consulting and/or actuarial work.
• Experience identifying, designing, recommending, and implementing efficient, innovative business solutions to clients' complex challenges.
• Superior analytical and mathematical skills, strategic planning, communication, and listening skills.
• Excellent organizational and project management skills with the ability to prioritize and handle multiple and complex tasks in a demanding work environment.
• Proven management skills in leading large, complex projects.

Qualifications

• Pharmacy Financial Consulting experience is preferred.
• ASA or FSA designation.
• Actuary expertise preferred.
• Underwriting experience preferred.

Benefits

• Professional development opportunities, interesting work, and supportive leaders.
• Vibrant and inclusive culture with talented colleagues.
• Career opportunities, benefits, and rewards to enhance well-being.
• Health and welfare benefits.
• Tuition assistance.
• 401K savings and other retirement programs.
• Employee assistance programs.

Pay

The applicable base salary range for this role is $93,500 to $187,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. This position may also be eligible for performance-based incentives.

Schedule

This role is based in a hybrid environment, requiring at least three days a week in the office.