Navitus Health Solutions
Director, Underwriting and Actuarial
Location:
United States (Remote available)
Category:
Accounting/Finance
Position Type:
Full-Time
Remote:
Yes (eligible in the United States except for certain states as noted below)
Company:
Navitus
About Us:
Navitus - Putting People First in Pharmacy. Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.
Pay Range:
USD $128,961.00 - $170,000.00 per year
STAR Bonus % (At Risk Maximum):
15%
Work Schedule:
M-F 8am-5pm CT
Remote work note:
Navitus cannot offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
Overview 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, and delivering high‑quality actuarial work.
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 line of business 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.
Qualifications 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 building consensus required.
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 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!
#J-18808-Ljbffr
United States (Remote available)
Category:
Accounting/Finance
Position Type:
Full-Time
Remote:
Yes (eligible in the United States except for certain states as noted below)
Company:
Navitus
About Us:
Navitus - Putting People First in Pharmacy. Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.
Pay Range:
USD $128,961.00 - $170,000.00 per year
STAR Bonus % (At Risk Maximum):
15%
Work Schedule:
M-F 8am-5pm CT
Remote work note:
Navitus cannot offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
Overview 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, and delivering high‑quality actuarial work.
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 line of business 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.
Qualifications 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 building consensus required.
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 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!
#J-18808-Ljbffr