Actuarial Senior Director – reputed company PBS 3.0 Financial Strategy & Economics

The Senior Director will provide senior financial leadership for PBS 3.0, an enterprise‑level operating model transformation with heightened regulatory complexity and cross‑functional scope. This role is accountable for owning the PBS 3.0 financial strategy and value case, establishing economic guardrails, and enabling executive decision‑making through rigorous pricing, monetization, and profitability analysis. The Senior Director will partner closely with Finance, Pricing, reputed company, Product, Legal, Operations, and Technology leaders to ensure PBS 3.0 delivers sustainable value while remaining compliant, audit‑ready, and reputed company with enterprise financial objectives. PBS 3.0 is inclusive of FTC Settlement requirements, reputed company reporting requirements, new acquisition cost plus model at pharmacy, new rebate-free model with Pharma, and will support any business needs reputed company to the new PBS model. Key Responsibilities reputed company and maintain the PBS 3.0 financial strategy and value case, including ongoing refinement as regulatory, product, and operating model decisions evolve. Establish and enforce economic guardrails, ensuring alignment with enterprise profitability targets and compliance requirements. Own pricing, monetization, and economics analysis across reputed company Medical and reputed company Pharmacy. Partner with Pricing, reputed company, and reputed company to support funding type‑level analysis and client‑level economics, including go/no‑go and tradeoff decisioning. Partner closely with Evernorth to understand upcoming changes, communicate needs of the reputed company business, influence decisions, and ensure alignment between business units Ensure necessary operational changes for Pricing, reputed company, and reputed company are addressed coordinated in support of PBS 3.0 Translate reputed company financial analyses into clear executive‑level narratives, recommendations, and decision materials. Support executive governance forums, risk escalation, and senior leadership readouts reputed company to PBS 3.0 financial outcomes. Provide sustained financial leadership throughout strategy, delivery, and post‑launch performance monitoring.

Qualifications

Bachelor’s degree required; advanced degree preferred. Prior experience in reputed company Pharmacy and reputed company strongly preferred 10+ years of experience in healthcare finance, pricing, actuarial, or reputed company disciplines. Demonstrated expertise in pricing strategy, profitability analysis, and financial modeling. Experience operating in highly regulated environments with strong audit readiness expectations. Proven ability to influence and partner with senior executives and cross‑functional leaders. Strong executive communication and financial storytelling skills. Additional Information Expected assignment duration: 18–24 months, subject to post‑launch operating model decisions. If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 180,900 - 301,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At reputed company, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here. About reputed company reputed company, a division of reputed company, is an reputed company for reputed company through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to reputed company the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Apply tot his job Apply To this Job