Healthcare Financial/Actuarial Senior Director
Commercial Employer HealthStop LossPricing & RatingReserving & ValuationRisk Management, ERM & ORSA
Role Summary
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Senior director role in healthcare actuarial and financial consulting based in Upper Merion Township, PA. Lead pricing, funding, reserves, and forecasting work for employer-sponsored health programs including self-insured, fully insured, and level-funded arrangements. Manage client engagements, provide strategic recommendations on stop-loss and pooling, and mentor junior colleagues while collaborating with cross-functional teams.
JOB DESCRIPTION SUMMARY
- Lead financial and actuarial engagements for a portfolio of employer health clients
- Develop pricing, employee contribution models, reserves, and forecasts
- Analyze large integrated medical, pharmacy, and enrollment datasets
- Advise on stop-loss, pooling, credibility, and funding strategies
- Provide team leadership, coaching, and cross-functional collaboration
DOMAIN EXPERTISE
- Self-insured and fully insured healthcare pricing and modeling
- Stop-loss funding and underwriting solutions
- Medical, pharmacy, and enrollment data analysis
- Funding strategies, pooling, and credibility analysis
- Plan design modeling and benefits impact assessment
KEY REQUIREMENTS
- Proven experience leading client-facing healthcare actuarial engagements
- Experience with self-insured, fully insured, and alternative funding models
- Ability to clean, transform, and analyze large medical and pharmacy datasets
- Expertise advising on stop-loss and pooling/credibility analysis
- Demonstrated experience mentoring and developing junior colleagues
TECH STACK
- No tech stack specified