Health Care Service Corporation · 1 day ago
Executive Director, Actuarial
Health Care Service Corporation is a purpose-driven company that invests in the professional development of its employees. The Executive Director, Medicare Part D Actuarial will lead the actuarial function for Medicare Part D products with accountability for product strategy, pricing, and financial performance, while serving as a strategic partner to senior leaders across various departments.
Health InsuranceInsurance
Responsibilities
Overseeing the annual budget and allocating resources for various projects and operational needs
Translating needs and initiatives into compelling business cases
Conducting cost-benefit analyses to justify investments and ensure ROI
Qualification
Required
Bachelor's degree in business, Finance, Actuarial Science, Mathematics, Economics, Computer Science or Management Information Systems
10 years of data, transactional application-based knowledge or group health underwriting experience
10 years of management experience, including overseeing two or more departments led by managers
Experience in leading one or more major (multi year) group insurance implementation projects
Experience in leading one of the following: Actuarial Systems or Applications and systems related teams including testing, building, and writing requirements
Experience in quality and auditing and system testing (including creating test scripts)
Experience planning skills including: Setting goals at a position appropriate level, long term planning (one year or longer), budget and expense management, creating staffing models for up to 2 years, establishing department vision
Problem solving, negotiation skills, and organizational alignment
Clear and concise verbal and written communication skills. Experience presenting to all levels of management including audiences with diverse communications preferences
Overseeing the annual budget and allocating resources for various projects and operational needs
Translating needs and initiatives into compelling business cases
Conducting cost-benefit analyses to justify investments and ensure ROI
Preferred
Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field; advanced degree preferred
FSA designation
10+ years of progressive actuarial experience, including significant leadership responsibility in Medicare Part D
Deep expertise in Medicare Part D pricing, bid development, forecasting, and regulatory requirements
Strong strategic influence, executive presence, and financial acumen
Strong understanding of pharmacy benefit economics, including formulary and network strategy impacts
Proven experience leading CMS bid audits and financial audits, and partnering with external actuarial firms
Demonstrated ability to communicate complex actuarial and financial concepts clearly to senior leaders and non-technical stakeholders
Benefits
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Company
Health Care Service Corporation
Health Care Service Corporation is a customer-owned health insurance company.
H1B Sponsorship
Health Care Service Corporation has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (198)
2024 (166)
2023 (132)
2022 (145)
2021 (73)
2020 (59)
Funding
Current Stage
Late StageRecent News
Company data provided by crunchbase