Director, Actuary (Medical Stop Loss Pricing)

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Director, Actuary (Medical Stop Loss Pricing) in the United States.

The Director, Actuary (Medical Stop Loss Pricing) will lead actuarial and pricing strategies for Medical Stop Loss products, directly influencing the growth and profitability of a rapidly expanding market segment. This role provides technical guidance on product development, risk assessment, and pricing models while collaborating closely with underwriting, claims, product, and distribution teams. You will be responsible for developing innovative methodologies, analyzing claims and market trends, and ensuring accurate pricing and compliance. The position requires a strong analytical mindset, advanced actuarial expertise, and the ability to communicate complex financial results to senior stakeholders. The role offers opportunities to expand into other insurance products and contribute to strategic decision-making in a dynamic, collaborative environment.

• Lead the pricing and actuarial initiatives for Medical Stop Loss products, including developing assumptions, models, and pricing strategies
• Collaborate with product, underwriting, claims, and distribution teams to ensure profitable growth and competitive offerings
• Conduct experience analysis, reserve calculations, and risk assessments to inform product decisions
• Oversee manual rate development, experience rating methodologies, and regulatory compliance for filings
• Analyze claims data, market trends, and regulatory changes to guide pricing and risk strategies
• Partner with external vendors and internal stakeholders to optimize actuarial operations and explore automation opportunities
• Provide mentorship and guidance to actuarial team members and foster best practices in pricing and risk evaluation

• 7+ years of actuarial experience, including Medical Stop Loss or health insurance product development, pricing, and financial projections
• Professional actuarial designation (FSA, ASA, MAAA, or equivalent) required
• Deep knowledge of Medical Stop Loss market dynamics, including specific and aggregate stop loss, risk transfer mechanisms, and employer self-funding strategies
• Strong quantitative, analytical, and modeling skills using actuarial software and advanced techniques (Excel, SAS, SQL, etc.)
• Experience with regulatory filings, compliance, and market monitoring for Medical Stop Loss products
• Excellent written and verbal communication skills for presenting pricing results and risks to leadership
• Collaborative, inclusive, and data-driven approach to decision-making

• Competitive base salary ($158,800 – $238,200) with discretionary annual incentive opportunities
• Medical, dental, vision, life, and disability insurance coverage
• 401(k) plan with company match and company-funded pension plan
• Paid time off, parental and military leave, and wellness reimbursements
• Education benefits for degree programs and accredited certificates
• Employee Stock Purchase Plan with discounted share purchases
• Flexible hybrid or virtual work arrangement depending on location

Why Apply Through Jobgether?

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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