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Manager Formulary Pricing Jobs (NOW HIRING)

Novo Nordisk A/S

Partners with PCOR, Finance, Account Management teams and Legal to evaluate contract economics ... formulary placement and appropriate adoption * Oversees payer-facing programs, customer-facing ...

OpenLoop Health, Inc

Director, Supply Chain Operations

$186K - $210K/yr

The partner-pharmacy network (relationships, capacity, pricing, sourcing and onboarding, and 50 ... management, formulary configuration) rather than escalating for it. This is core to the role, not ...

OpenLoop Health, Inc.

$134K - $151K/yr

The partner-pharmacy network (relationships, capacity, pricing, sourcing and onboarding, and 50 ... management, formulary configuration) rather than escalating for it. This is core to the role, not ...

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$152.5K

How much do manager formulary pricing jobs pay per year?

As of Sep 13, 2026, the average yearly pay for manager formulary pricing in the United States is $92,983.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $118,500.00 per year, depending on experience, location, and employer.

What are popular job titles related to Manager Formulary Pricing jobs?

For Manager Formulary Pricing jobs, the most frequently searched job titles are:

Lead Actuary - Pharmacy Pricing - REMOTE

Albuquerque, NM • On-site, Remote

Prime Therapeutics LLC
Insurance Services • 1 - 5K employees
Learn more about Prime Therapeutics LLCexternal

$124K - $211K/yr

Full-time

Re-posted 14 days ago

Prime Therapeutics rating

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Lead Actuary - Pharmacy Pricing - REMOTEJob Description
The Lead Actuary - Pharmacy Pricing leads complex pharmacy pricing and rebate guarantee analyses for Prime's existing and prospective clients. This role partners closely with senior leaders to deliver client-specific pricing recommendations, navigate market-driven uncertainty, and translate complex analyses into clear, actionable insights. The position leads high-visibility initiatives and mentors actuarial team members.
Key Responsibilities
  • Serve as a subject matter expert on pharmacy pricing and rebate guarantees, partnering with Underwriting, Clinical, Trade, Legal, Sales, and senior leadership
  • Lead the development, review, and delivery of complex pricing analyses, projections, and actuarial models
  • Own and execute ad hoc pharmacy data analyses to evaluate rebate performance, market events, and actual-to-expected results
  • Provide strategic pricing guidance on formulary methodology and rebate structures using market research and financial modeling
  • Present analyses and recommendations to senior stakeholders and clients; respond to detailed, challenging questions with confidence
  • Lead high-impact, cross-functional workstreams that require strong judgment, prioritization, and accountability
  • Mentor and support Analysts and junior Actuaries through technical guidance and ongoing feedback
  • Monitor health policy, regulatory, and market developments and assess implications for pricing strategy
  • Ensure compliance with applicable federal regulations and actuarial standards
  • Perform other duties as assigned

Minimum Qualifications
  • Bachelor's degree in Math, Actuarial Science, Economics or Finance or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 8 years of actuarial work experience to include 6 years in a healthcare organization or PBM
  • Actuarial designation (ASA or FSA)
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications
  • Advanced proficiency in Excel; working knowledge of SAS, SQL, VBA, or similar tools
  • Strong analytical and problem-solving skills with the ability to work through ambiguity
  • Ability to manage multiple complex priorities and deliver under tight timelines
  • Clear, professional written and verbal communication skills
  • Effective client-facing and executive presentation skills

Preferred Qualifications
  • Experience pricing Commercial, Medicare, and/or Medicaid pharmacy benefits
  • Demonstrated experience leading complex pricing or rebate-related initiatives
  • Prior client-facing experience supporting executive-level discussions

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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