Director, Underwriting and Actuarial

Due to growth, Navitus Health Solutions is seeking a Director of Underwriting and Actuarial to join our team!

The Director, Underwriting and Actuarial is responsible for guiding the actuarial and financial analytics, assumptions, and modeling to support the strategic objectives of Navitus. This leader directs the development, implementation, and monitoring of pricing models and strategies, financial forecasts, trend analytics, and risk modeling for all lines of business, including Medicare, Medicaid, Commercial, Self-Funded, EGWP, and Exchange products.

The Director, Underwriting and Actuarial works collaboratively with executive leadership, underwriting, clinical, and operations teams to ensure that Navitus' products are competitive, financially sound, and aligned to client, market, and organizational strategic needs. This role also involves managing and mentoring a team of actuaries and analysts, fostering their professional growth and actuarial acumen, delivering high quality actuarial work.

Is this you? Find out more below!

How do I make an impact on my team?

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.

What our team expects from you?

• 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.

What can you expect from Navitus?

• 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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