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Role Summary

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HIGHLIGHTS

Director-level health actuarial role leading commercial pricing for fully insured and self-funded small group, large group, and level-funded products in the Philadelphia/Tri-State area. Owns pricing strategy, rate development, regulatory filings, and oversight of actuarial models while managing and mentoring actuarial staff. Requires ASA or FSA and 8+ years of commercial health actuarial experience.

JOB DESCRIPTION SUMMARY

  • Lead pricing strategy and rate development for commercial medical and ancillary products
  • Manage actuarial models, monitor utilization and unit cost trends, recommend price adjustments
  • Ensure compliance with state and federal rate filing requirements and DOI interactions
  • Provide leadership and mentorship to actuarial analysts and managers
  • Hybrid role: 3 days in office (Tue–Thu); work must be performed in Tri-State (DE/NJ/PA)

DOMAIN EXPERTISE

  • commercial health pricing
  • ACA and level-funded plan pricing
  • large group pricing
  • rate filing and regulatory compliance

KEY REQUIREMENTS

  • ASA or FSA designation with 8+ years of commercial health actuarial experience
  • Proven experience with ACA, level-funded, and large group pricing
  • Deep understanding of healthcare cost drivers and risk adjustment methodologies
  • Proficiency with SQL, SAS, R, Python and Excel for actuarial analysis
  • Experience managing teams and cross-functional projects

TECH STACK

  • Excel
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Role Summary

Loading...

HIGHLIGHTS

Director-level health actuarial role leading commercial pricing for fully insured and self-funded small group, large group, and level-funded products in the Philadelphia/Tri-State area. Owns pricing strategy, rate development, regulatory filings, and oversight of actuarial models while managing and mentoring actuarial staff. Requires ASA or FSA and 8+ years of commercial health actuarial experience.

JOB DESCRIPTION SUMMARY

  • Lead pricing strategy and rate development for commercial medical and ancillary products
  • Manage actuarial models, monitor utilization and unit cost trends, recommend price adjustments
  • Ensure compliance with state and federal rate filing requirements and DOI interactions
  • Provide leadership and mentorship to actuarial analysts and managers
  • Hybrid role: 3 days in office (Tue–Thu); work must be performed in Tri-State (DE/NJ/PA)

DOMAIN EXPERTISE

  • commercial health pricing
  • ACA and level-funded plan pricing
  • large group pricing
  • rate filing and regulatory compliance

KEY REQUIREMENTS

  • ASA or FSA designation with 8+ years of commercial health actuarial experience
  • Proven experience with ACA, level-funded, and large group pricing
  • Deep understanding of healthcare cost drivers and risk adjustment methodologies
  • Proficiency with SQL, SAS, R, Python and Excel for actuarial analysis
  • Experience managing teams and cross-functional projects

TECH STACK

  • Excel

Job Overview

Salary
Salary not specified
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A Director-level health actuary (ASA or FSA) with 8+ years in commercial employer health pricing who excels at rate development, regulatory filings, and mentoring teams while using SQL/SAS/R/Python for analysis.

ASAFSA

Benefits

Hybrid Work
Shortlist Forming
Closing Soon
45d
45 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A Director-level health actuary (ASA or FSA) with 8+ years in commercial employer health pricing who excels at rate development, regulatory filings, and mentoring teams while using SQL/SAS/R/Python for analysis.

ASAFSA

Benefits

Hybrid Work
Shortlist Forming
Closing Soon
45d
45 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

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