Director, Actuary

Overview

This role applies statistical and mathematical techniques to analyze data, assess risk factors, and support regulatory-compliant pricing and risk assessment efforts within Health & Wealth Benefits.

Responsibilities

• Collaborate with cross-functional teams to align and develop business strategies for best-in-class pricing and offerings.
• Communicate complex ideas clearly to leadership and a broad set of stakeholders; drive transparency on priorities and expected return.
• Adapt quickly to changing priorities; manage multiple priorities and reassess/pivot as needed.
• Take initiative and work independently when needed, including assessing scope and level of effort to develop models, predict outcomes, and assess future risk and vulnerability.
• Conduct experience studies and identify actionable insights to modify subscriber behaviors and improve overall results.
• Analyze carrier cost ratios based on overall experience; identify opportunities for improvement among new business and existing client base.
• Gather and develop benchmarks to assess performance and identify potential for improvement.
• Prepare and present actuarial reports to senior leadership, explaining findings and recommendations clearly.
• Provide insights to partners to continuously improve processes through data and innovation.
• Build strong internal and external partnerships.
• Partner with Data & Analytics, Data Product, and business stakeholders to create roadmaps and execute project plans in a fast-paced, agile development environment.
• Create use-case specific data tables by joining and combining elements across multiple data domains.
• Assess and determine key data elements needed for evaluation; ensure data is well-structured, adheres to data quality rules, and remains traceable from the consumption layer back to the raw layer.
• Drive strategic use of data to support business efficiencies and competitive decision-making.
• Mentor junior team members working within a matrix pod to support Advanced Analytics initiatives.
• Stay current with industry trends, actuarial methodologies, and best practices through ongoing professional development and education.
• Maintain awareness of industry regulations and support compliance across actuarial aspects of products and services, including SOX and HIPAA, and other regulations.

Requirements

• Fully remote is available if the selected candidate is not near an office; otherwise, a hybrid flexible work arrangement is supported (3 days in the office and 2 days at home).
• Bachelor’s degree in actuarial science, Mathematics, Statistics, or a related field.
• Associate of the Society of Actuaries (ASA).
• 12+ years of experience as an actuary or equivalent relevant role, with a strong background in health insurance.
• Knowledge of healthcare actuarial practice, including pricing, reserving, and forecasting.
• Experience with cloud database technologies (e.g., AWS) and developing solutions on cloud computing services and infrastructure in the data and analytics space.
• Proficiency in statistical modeling tools and programming languages: SQL, Python, MATLAB, R, or similar.

Preferred Qualifications

• MBA.
• Experience in PEO, Risk analytics, or analytical consulting.
• Understanding of both fully insured and self-insured Health & Benefits programs, including underwriting and claims projection experience.
• Proven ability to derive new insights by merging and transforming internal and external data sets in business contexts.
• Demonstrated ability to lead and participate on large projects and complex analytical initiatives across departments.
• Ability to effectively communicate optimal design of the data for modeling.
• Experience with Jira and Confluence (preferred).
• Knowledge with dashboarding tools (e.g., Dash, Shiny, Tableau, PowerBI).
• Comfort using APIs to perform advanced data transformations.
• Exceptional analytical and problem-solving skills.
• Excellent written, verbal, communication, presentation, and interpersonal skills with both technical and non-technical audiences.

Compensation & Benefits

• Compensation range: USD $123,400.00 - USD $303,800.00 / Year*
• Actual compensation will not be less than the applicable minimum wage or minimum exempt salary requirement under federal, state and local laws.
• Benefits offered may include: Medical, Dental, Vision, Life Insurance, Matched Retirement Savings, Wellness Program, Short-and Long-Term Disability, Charitable Contribution Match, Holidays, Personal Days & Vacation, Paid Volunteer Time Off, and more.

Location

• Fully remote is available if the selected candidate is not near an office.
• Otherwise: hybrid flexible work arrangement (3 days in the office and 2 days at home).