• Prepares and interprets data and related formulae
• Monitors trend of profit and profitability by line of business and/or product
• Serves on major, multi-function projects as Actuarial representative
• Organizes and directs the staffing and workflow of the section
• Light travel may be required.

Requirements

Requires a BA/BS degree and minimum of 6 years related experience
FSA required from the Society of Actuaries (SOA)
Prior pricing experience working within stop loss/level-funded space strongly preferred
Experience with leading and developing pricing strategies using data and analyses to guide underwriting decision-making within the stop loss/level-funded space preferred
Ability to be innovative and assess potential AI or predictive tools to assist in risk identification and/or scoring methods to guide pricing decisions preferred
Small group pricing experience within level-funded preferred
Excellent writing and presentation skills
Ability to convey technical analyses and information in a clear manner to non-technical business audiences including C-suite, Senior HR, Finance leadership preferred
Experience with consulting and evaluating impact of regulatory changes preferred
Experience serving large/complex Fortune 500 organizations preferred
Ability to review technical work product and mentor junior technical staff including analysts, data scientists, statisticians and actuaries preferred
Experience working with large health claims datasets or gathering datasets
Experience with evaluation of provider quality and quality data.
Experience with HIPAA and de-identification standard methodologies preferred.
Well-developed skills in project management/planning and partner management preferred.

🔍 ATS Optimization Keywords
Below are skills and terms extracted directly from this job posting to improve Applicant Tracking System (ATS) visibility. This unique feature helps candidates tailor their applications more effectively — a feature exclusive to JobTailor job listings.

Hard Skills

data analysis
pricing strategies
risk identification
predictive tools
technical analysis
project management
data gathering
provider quality evaluation
HIPAA compliance
stop loss

Soft Skills

writing skills
presentation skills
communication skills
mentoring
innovation
organizational skills
leadership
collaboration
clear conveyance of information
partner management

Certifications & Qualifications

FSA
BA/BS degree

Actuarial Director – Level Funding Pricing

Actuarial Analyst II