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Role Summary

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HIGHLIGHTS

Director-level Health actuarial and underwriting role focused on pharmacy benefits management (PBM). You will lead pricing, risk modelling, financial forecasts and trend analytics across Medicare, Medicaid, Commercial, ASO/Exchange products. The role manages and mentors an actuarial team, partners with underwriting, clinical, finance and sales, and supports new business development. Remote (US) with some state residency restrictions; based on CT timezone business hours.

JOB DESCRIPTION SUMMARY

  • Lead pricing, risk modelling and financial forecasting for PBM products
  • Cover Medicare, Medicaid, Commercial, ASO and Exchange business lines
  • Manage and mentor an actuarial and analytics team (leadership role)
  • Serve as primary actuarial contact for clients and support new business
  • Remote US role (some state residency exclusions); M-F 8am-5pm CT

DOMAIN EXPERTISE

  • pharmacy benefits management actuarial experience
  • health insurance pricing and forecasting
  • experience across Medicare, Medicaid, Commercial, ASO
  • underwriting experience in PBM or managed care
  • leading actuarial teams and deliverables

KEY REQUIREMENTS

  • Associate of the Society of Actuaries (ASA) required
  • Bachelor’s degree in Math/Stats/Actuarial Science or related field
  • 5+ years progressive actuarial experience in health/PBM or similar
  • 5+ years leading actuarial teams and managing actuarial deliverables
  • Experience across Medicare, Medicaid, Commercial and ASO products

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Director-level Health actuarial and underwriting role focused on pharmacy benefits management (PBM). You will lead pricing, risk modelling, financial forecasts and trend analytics across Medicare, Medicaid, Commercial, ASO/Exchange products. The role manages and mentors an actuarial team, partners with underwriting, clinical, finance and sales, and supports new business development. Remote (US) with some state residency restrictions; based on CT timezone business hours.

JOB DESCRIPTION SUMMARY

  • Lead pricing, risk modelling and financial forecasting for PBM products
  • Cover Medicare, Medicaid, Commercial, ASO and Exchange business lines
  • Manage and mentor an actuarial and analytics team (leadership role)
  • Serve as primary actuarial contact for clients and support new business
  • Remote US role (some state residency exclusions); M-F 8am-5pm CT

DOMAIN EXPERTISE

  • pharmacy benefits management actuarial experience
  • health insurance pricing and forecasting
  • experience across Medicare, Medicaid, Commercial, ASO
  • underwriting experience in PBM or managed care
  • leading actuarial teams and deliverables

KEY REQUIREMENTS

  • Associate of the Society of Actuaries (ASA) required
  • Bachelor’s degree in Math/Stats/Actuarial Science or related field
  • 5+ years progressive actuarial experience in health/PBM or similar
  • 5+ years leading actuarial teams and managing actuarial deliverables
  • Experience across Medicare, Medicaid, Commercial and ASO products

TECH STACK

  • No tech stack specified

Job Overview

Salary
$129k - $170k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior Health actuarial leader (Director) with an ASA and 5+ years in PBM/health insurance, experienced across Medicare/Medicaid/Commercial who can lead pricing and risk models and influence executive and client stakeholders.

ASA

Benefits

Health InsuranceDental InsuranceVision InsuranceGenerous VacationPaid Parental Leave401(k) PlanHigh 401(k) MatchHSA/FSA AvailableTraining Budget
Shortlist Forming
Closing Soon
218d
218 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
$129k - $170k
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Senior Health actuarial leader (Director) with an ASA and 5+ years in PBM/health insurance, experienced across Medicare/Medicaid/Commercial who can lead pricing and risk models and influence executive and client stakeholders.

ASA

Benefits

Health InsuranceDental InsuranceVision InsuranceGenerous VacationPaid Parental Leave401(k) PlanHigh 401(k) MatchHSA/FSA AvailableTraining Budget
Shortlist Forming
Closing Soon
218d
218 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."

Director, Underwriting and Actuarial

Navitus Health Solutions LLC

Health/Other/Director Level
Navitus Health Solutions LLC

Director, Underwriting and Actuarial

Navitus Health Solutions LLC
United States•7mo ago
RemoteMedicare AdvantageMedicaidCommercial Employer HealthACA Exchange

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