Navitus Health Solutions · 7 hours ago
Director, Underwriting and Actuarial
United States
Full-time
Remote
Lead/Staff, Director/Executive
$129K/yr - $170K/yr
5+ years expNavitus Health Solutions is committed to making medications more affordable and is seeking a Director of Underwriting and Actuarial to lead their actuarial and financial analytics efforts. This role is responsible for developing pricing models and strategies, overseeing financial forecasts, and managing a team of actuaries and analysts to ensure competitive and financially sound products.
Health CareInformation Technology
Responsibilities
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. This includes consideration of payer requirements that drive drug pricing and rebates
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
Qualification
Required
Bachelor's degree in Mathematics, Statistics, Actuarial Science, or a related field required
Associate of the Society of Actuaries required
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
Preferred
Fellowship preferred
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!
Company
Navitus Health Solutions
Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
George Hepburn
SVP and Chief Financial Officer
Peter Beste
CFO
Recent News
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