Role Summary

HIGHLIGHTS

Senior Director, Healthcare Financial/Actuarial role in Boston. Lead financial and actuarial engagements for employer-sponsored health programs, including pricing, reserves, stop-loss and funding strategies for self-funded and fully insured arrangements. Oversee data analysis of medical, pharmacy and enrollment datasets, coach junior staff, and advise on carrier/market dynamics and plan design.

JOB DESCRIPTION SUMMARY

Lead financial and actuarial engagements for employer-sponsored health clients
Develop pricing, reserves, forecasts and funding strategies for self-funded and fully insured plans
Clean, transform, and analyze large integrated medical, pharmacy and enrollment datasets
Advise on stop-loss, pooling/credibility and carrier/market competitiveness
Provide team leadership and coach junior actuarial colleagues

DOMAIN EXPERTISE

Self-insured and fully insured funding arrangements
Modeling plan design and pricing strategies for employer health programs
Analysis of medical, pharmacy and enrollment datasets
Stop-loss solutions, pooling point analysis and credibility methods

KEY REQUIREMENTS

Proven experience leading financial and actuarial client engagements
Experience with self-insured, fully insured, and alternative funding arrangements
Ability to analyze and model large medical, pharmacy, and enrollment datasets
Expertise in stop-loss solutions, pooling/credibility methods, and funding strategies
Experience providing coaching and direction to junior staff

TECH STACK

No tech stack specified

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead financial and actuarial engagements for employer-sponsored health clients
Develop pricing, reserves, forecasts and funding strategies for self-funded and fully insured plans
Clean, transform, and analyze large integrated medical, pharmacy and enrollment datasets
Advise on stop-loss, pooling/credibility and carrier/market competitiveness
Provide team leadership and coach junior actuarial colleagues

DOMAIN EXPERTISE

Self-insured and fully insured funding arrangements
Modeling plan design and pricing strategies for employer health programs
Analysis of medical, pharmacy and enrollment datasets
Stop-loss solutions, pooling point analysis and credibility methods

KEY REQUIREMENTS

Proven experience leading financial and actuarial client engagements
Experience with self-insured, fully insured, and alternative funding arrangements
Ability to analyze and model large medical, pharmacy, and enrollment datasets
Expertise in stop-loss solutions, pooling/credibility methods, and funding strategies
Experience providing coaching and direction to junior staff

TECH STACK

No tech stack specified

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead financial and actuarial engagements for employer-sponsored health clients
Develop pricing, reserves, forecasts and funding strategies for self-funded and fully insured plans
Clean, transform, and analyze large integrated medical, pharmacy and enrollment datasets
Advise on stop-loss, pooling/credibility and carrier/market competitiveness
Provide team leadership and coach junior actuarial colleagues

DOMAIN EXPERTISE

Self-insured and fully insured funding arrangements
Modeling plan design and pricing strategies for employer health programs
Analysis of medical, pharmacy and enrollment datasets
Stop-loss solutions, pooling point analysis and credibility methods

KEY REQUIREMENTS

Proven experience leading financial and actuarial client engagements
Experience with self-insured, fully insured, and alternative funding arrangements
Ability to analyze and model large medical, pharmacy, and enrollment datasets
Expertise in stop-loss solutions, pooling/credibility methods, and funding strategies
Experience providing coaching and direction to junior staff