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Selby Jennings

Actuarial Pricing Manager

Selby Jennings, Boston

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A nationally recognized health insurer is seeking a Network Pricing Consultant to lead strategic pricing initiatives and support provider network development within its Dental division. This role is ideal for a data-driven professional with strong leadership skills and a passion for optimizing healthcare access and affordability.

This is a hybrid position - 3x a week in-office, 2x WFH (Boston, MA or New York, NY)

Key Responsibilities

  • Lead a team of analysts in evaluating and optimizing PPO and DHMO provider compensation.
  • Oversee changes to fee schedules and assess financial impacts on dental rates.
  • Manage rental access fee payments and relationships with network partners.
  • Develop and maintain analytical tools to support pricing, retention, and recruitment strategies.
  • Collaborate with cross-functional teams to identify cost-saving opportunities and enhance network performance.
  • Support RFP responses and sales initiatives with data-driven insights.
  • Build and maintain strong relationships with internal stakeholders and external providers.

Qualifications

  • Bachelor's degree in Math, Statistics, Actuarial Science, or a related field.
  • 6+ years of experience in actuarial or data analytics, preferably in healthcare or insurance.
  • Proficiency in Excel and/or VBA; experience with Tableau and Alteryx is a plus.
  • Experience with provider fee analysis (PPO and HMO) is preferred.
  • ASA designation is preferred.
  • Proven ability to lead multiple projects and manage direct reports.
  • Strong analytical, communication, and project management skills.

Seniority level

  • Seniority level

    Mid-Senior level

Employment type

  • Employment type

    Full-time

Job function

  • Job function

    Consulting

  • Industries

    Claims Adjusting, Actuarial Services

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