Navitus Health Solutions

We are committed to helping humans by making medications more affordable for the people who need them.

Director, Underwriting and Actuarial

ActuaryActuaryFull TimeRemoteTeam 1,001-5,000Since 2003H1B No SponsorCompany SiteLinkedIn

Location

Alaska + 12 moreAll locations: Alaska, Hawaii, Maine, New Hampshire, New Mexico, North Dakota, Mississippi, Rhode Island, South Carolina, South Dakota, Virginia, West Virginia, Wyoming

Posted

105 days ago

Salary

$129.0K - $170K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Serves as a primary point of contact for clients that utilize Navitus’ actuarial services for pharmacy benefits cost forecasting and management. • Participates in new business development activity with prospective clients as the lead subject matter expert for actuarial services offered by Navitus. • Provides oversight, guidance, and models to facilitate the actuarial analysis needed to develop financial projections for alternative plan designs. • Supports Finance projections of long-term revenues and profitability by LOB and client. • Provides oversight, guidance, and models to analyze population and other changes to determine the impact on projected costs for a book of business. • Understands drug trends, new drug pipelines, patent expirations, and other factors to guide best estimate thinking around projected trend. • Contributes to the analytics strategy for the organization, working with leaders in Analytics, Sales Financial Support, and Underwriting. • Leads development efforts of Navitus Health Solutions pricing and risk models. • Ensures that those responsible for managing care and cost outcomes have the clinical and financial data needed to inform the development of strategies designed to manage care and cost outcomes for defined populations. • Establishes actuarial policies and standards that ensure effective controls and compliance with all applicable statutory, regulatory, professional, and corporate standards and regulations. • Develops, leads, and guides the actuarial function for the organization, ensuring that the team meets client needs and that expenses are managed within budget. • Participates in, adheres to and supports compliance, people and culture, and learning programs. • Performs other duties as assigned.

Job Requirements

  • Education: Bachelor’s degree in Mathematics, Statistics, Actuarial Science, or a related field required.
  • Certification/Licenses: Associate of the Society of Actuaries required. Fellowship preferred.
  • Experience: 5+ years of progressive actuarial experience (preferably in Health Insurance, pharmacy benefits management, or comparable capacity) required.
  • Experience in more than 2 functions (pricing, reserving, modeling, reporting and analysis) required.
  • 5+ years of underwriting experience in a Pharmacy Benefit Management, Managed Care, or adjacent setting.
  • Experience across multiple product offerings including Medicare, Medicaid, Commercially Insured, and Administrative Service only products required.
  • 5 years of leadership experience managing people and work product for an actuarial team required.
  • Experience in influencing leaders at a variety of levels and build consensus required.

Benefits

  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!

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