Director, Actuary

Overview

The organization is seeking a Director, Actuary for Health & Wealth Benefits.

This role applies statistical and mathematical techniques to analyze data, assess risk factors, develop pricing models, perform risk assessments, and support regulatory compliance.

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 range of stakeholders; drive transparency on priorities and expected return.
• Manage multiple priorities and reassess/pivot as needed in response to changing priorities.
• Work independently when needed; assess scope and level of effort; develop models, predict outcomes, and assess future risk and vulnerability.
• Conduct experience studies and identify actionable insights to modify subscriber behaviors to improve overall results.
• Analyze carrier cost ratios based on overall experience and identify opportunities for improvement across new business and existing clients.
• 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 critical elements across multiple data domains.
• Assess and determine key data elements needed for evaluation, ensuring they are well-structured, adhere to data quality rules, and 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 in all actuarial aspects of products and services, including compliance with SOX, HIPAA, and other regulations.

Requirements

• Fully remote is available if the 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’ 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, including SQL, Python, MATLAB, R, or similar.

Preferred Qualifications

• MBA.
• Experience working 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.
• Demonstrated ability to lead and participate on large projects, including complex analytical initiatives across departments.
• Ability to communicate optimal design of data for modeling.
• Experience with Jira and Confluence.
• Knowledge of dashboarding tools (e.g., Dash, Shiny, Tableau, PowerBI).
• Comfort using APIs to perform advanced data transformations.

Compensation & Benefits

• Base salary range: USD $123,400.00 - USD $303,800.00 / Year*
• Base salary offers may vary based on factors such as location, skills, and relevant experience.
• Some positions may include additional compensation in the form of bonus, equity or commissions.
• Benefits 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.
• Compensation will not be less than the applicable minimum wage or minimum exempt salary requirement under federal, state and local laws.

Location

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