Title: Actuarial Principal - PBM Consulting

Location: Remote

Type: FTE

Salary: $200,000-$275,000

**Only those who do not require any current or future sponsorship can be considered, no 3rd parties**

As a Principal, you will collaborate closely with seasoned leaders and senior consultants from a globally recognized strategy and analytics firm while contributing to a wide array of client solutions. This role offers high levels of interaction and visibility with clients, including leading insurance carriers and integrated healthcare systems. You'll take charge of business development efforts, lead execution teams, manage client relationships, oversee project delivery, and conduct peer reviews.

Potential projects may include:

• Conducting RFP evaluations for pharmacy benefit vendors (PBMs, GPOs, etc.) on behalf of health plans

• Initiating and managing pharmacy contract market checks

• Validating rebate and discount guarantees based on PBM agreement terms

• Advising on and negotiating PBM contract language

• Providing strategic guidance to optimize rebate structures and discount arrangements

Required Experience & Skills:

• Bachelor's degree required

• Extensive expertise in the PBM operating model and broad knowledge of the pharmacy and healthcare industries

• At least 7 years of experience in the PBM sector or healthcare consulting, with actuarial training strongly preferred

• Familiarity with various healthcare delivery models, including Commercial, Medicaid, Medicare, and the Individual Marketplace

• Strong understanding of key pharmacy-related topics such as GPOs, 340B programs, NADAC pricing, retail pharmacy network contracting, and evolving PBM financial structures

• Actuarial credentials (e.g., ASA, FSA) preferred

• Demonstrated ability and motivation for fast learning, professional development, and delivering high-quality work

• Excellent communication skills-both verbal and written-with strong interpersonal abilities

• Well-developed organizational and time management skills; able to manage multiple priorities in a high-pressure setting

• Collaborative mindset with the ability to contribute effectively in team environments

• Strong analytical thinking and creative problem-solving skills for tackling complex client challenges

• Self-motivated and adaptable, with a strong desire to succeed in a fast-paced, evolving landscape

To be considered for the role please apply online or email an updated Resume to Brandon Cook at Oliver James - Brandon.Cook@oliverjames.com