Director of Actuarial Pricing Strategy - Remote
About The Position
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As a Director of Actuarial Pricing Strategy, ORx, you will lead pricing strategy for the Pharmacy Benefit Manager (PBM) business, shaping how ORx competes in the market across RFPs, client requests, and underwriting decisions. This role positions the US actuarial function as a core commercial partner, supporting growth through disciplined, market informed pricing and solid actuarial engagement with clients and external consulting firms. The Director is accountable for translating underwritten model outputs into clear, defensible pricing strategies that balance competitiveness, risk, and profitability. You will set the strategic direction for how pricing recommendations are developed, governed, and communicated, ensuring consistency across RFP responses, client negotiations, and deal structuring. In this role, you will partner closely with the Actuarial Director responsible for Trend & Assumption setting, ensuring pricing strategies are informed by robust underlying assumptions while remaining focused on commercial decisions and market impact. You will partner closely with underwriting, industry relations pre-deals, sales, and finance and play a hands on leadership role in advancing pricing capabilities and ensuring pricing strategy is aligned with ORx’s broader growth and financial objectives.
Requirements
- ASA (Associate of the Society of Actuaries)
- 5+ years of actuarial experience in a Pharmacy or Healthcare setting
- 3+ years of experience analyzing and manipulating large healthcare claim datasets
- Demonstrated experience leading or influencing pricing decisions
- Proficiency in Excel and SQL
- Proven excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion
Nice To Haves
- FSA, or progress toward FSA (Associate/Fellowship of the Society of Actuaries) designation
- 3+ years of experience working in a PBM Setting
- Experienced presenting business insights and summaries to inform decisions to stakeholders
- Proven ability to self-motivate, quickly learn new business concepts and take initiatives
Responsibilities
- Lead ORx PBM actuarial pricing strategy across Commerical, Medicare Part D and Medicaid lines of business, supporting RFP responses, client requests, and underwriting decisions
- Translate underwriting model outputs into clear, competitive, and financially sound pricing recommendations that balance risk, profitability, and market positioning
- Partner closely with the Director responsible for trend assumption setting to ensure pricing strategies are informed by robust assumptions while remaining aligned to commercial and market objectives
- Develop and recommend pricing structures and financial terms to support contract negotiations and effective risk management in risk based arrangements
- Serve as a key actuarial partner to sales, underwriting, industry relations, and finance, providing pricing guidance to support deal structuring, client discussions, and consultant engagement
- Support and lead actuarial contributions to RFPs, client specific analyses, and external consulting firm inquiries, representing ORx actuarial capabilities in market facing discussions
- Provide actuarial leadership on pricing performance evaluation, identifying opportunities to refine strategy based on emerging experience and market feedback
- Drive strategic initiatives to enhance pricing governance, consistency, and execution across contracts and client segments
- Communicate pricing strategy and recommendations clearly to both technical and non technical audiences through presentations, discussions, and written materials
- Mentor and support junior Actuaries and analysts, with a focus on pricing acumen and professional development
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- Flexibility in your work schedule
- Inclusion into the UHG Actuarial Study Program, including company sponsored study hours and study materials
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
