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