Role Summary

HIGHLIGHTS

Director, Healthcare Actuary at Progyny in New York leading Medical Economics & Analytics. You will lead pricing, actuarial modeling and forecasting for fully insured health plans and stop-loss, present insights to senior leadership, and support regulatory filings and reinsurance strategy.

JOB DESCRIPTION SUMMARY

Lead pricing and actuarial analytics for fully insured health plans and stop-loss
Develop models to forecast utilization and client spend using claims data
Set premiums, underwriting and reinsurance strategies for new products
Present actuarial insights to internal and external stakeholders and senior leadership
Director-level role (7+ years) requiring ASA or FSA; NY-based hybrid (3 days/week)

DOMAIN EXPERTISE

healthcare actuarial experience (health plans/consulting)
fully insured health plan pricing and underwriting
stop-loss and reinsurance strategy
utilization and spend forecasting
actuarial documentation and regulatory filings

KEY REQUIREMENTS

7+ years of healthcare actuarial experience at carriers or consulting
ASA or FSA designation required
Experience pricing fully insured health plans, stop-loss, and reinsurance
Proficiency in Excel and SQL; Power BI/Tableau/Looker preferred
Authorized to work in the US without sponsorship

TECH STACK

Excel
Power_BI
Tableau
Looker

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead pricing and actuarial analytics for fully insured health plans and stop-loss
Develop models to forecast utilization and client spend using claims data
Set premiums, underwriting and reinsurance strategies for new products
Present actuarial insights to internal and external stakeholders and senior leadership
Director-level role (7+ years) requiring ASA or FSA; NY-based hybrid (3 days/week)