Director, Actuary (Medical Stop Loss Pricing)
FlexibleStop LossPricing & RatingExperience StudiesReserving & Valuation
Role Summary
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Director-level health actuarial role focused on Medical Stop Loss pricing in the United States. Lead pricing strategy, build assumptions and models, conduct experience analysis and reserves, and collaborate with underwriting, claims, product and distribution. Requires senior actuarial credential and strong technical and communication skills.
JOB DESCRIPTION SUMMARY
- Lead pricing and actuarial strategy for Medical Stop Loss products
- Develop assumptions, models, experience rating and reserve calculations
- Collaborate with underwriting, claims, product and distribution teams
- Mentor actuarial team members and foster pricing best practices
- Flexible hybrid or virtual work arrangement depending on location
DOMAIN EXPERTISE
- Medical Stop Loss pricing and product development
- Specific and aggregate stop loss experience and risk transfer mechanisms
- Experience rating methodologies for employer self-funded plans
- Regulatory filings and compliance for Medical Stop Loss products
KEY REQUIREMENTS
- 7+ years of actuarial experience including Medical Stop Loss or health insurance
- Professional actuarial designation required (FSA, ASA, MAAA or equivalent)
- Deep knowledge of specific and aggregate stop loss and employer self-funding
- Strong modelling and data skills with Excel, SAS and SQL
- Experience with regulatory filings and compliance for stop loss products
TECH STACK
- Excel
