Independence Blue Cross · 4 months ago
Director & Actuary
Independence Blue Cross is committed to enhancing the health and well-being of the people and communities they serve. The Director & Actuary Commercial Pricing leads the development and execution of pricing strategies for the organization’s commercial health insurance products, ensuring rate adequacy and compliance while supporting growth objectives.
Health CareHealth InsuranceInsuranceMedical
Responsibilities
Lead pricing strategy and rate development for commercial products, including medical and ancillary benefits
Collaborate with underwriting, product, sales, and finance teams to align pricing with market dynamics and business goals
Monitor and analyze utilization and unit cost trends, working with others in the Actuarial team; recommend pricing adjustments based on emerging experience
Ensure compliance with state and federal rate filing requirements; support DOI interactions and respond to regulatory inquiries
Oversees and reviews the development and maintenance of actuarial tools and models to support pricing decisions and financial projections
Provide leadership and mentorship to actuarial analysts and managers; foster a culture of analytical rigor and innovation
Present pricing strategy and performance insights to leadership and cross-functional stakeholders
Qualification
Required
ASA or FSA designation with 8+ years of actuarial experience in commercial health insurance
Deep understanding of healthcare cost drivers, benefit design, and risk adjustment methodologies
Proven experience with ACA, level-funded, and large group pricing
Strong analytical and communication skills; ability to translate complex data into actionable insights
Proficiency in actuarial software (e.g., SQL, SAS, R, Excel, Python) and data visualization tools
Experience managing teams and cross-functional projects
Company
Independence Blue Cross
The leading health insurer in southeastern Pennsylvania. It is a sub-organization of Independence Blue Cross.
Funding
Current Stage
Late StageLeadership Team
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