Senior Vice President of Actuarial and Underwriting

3 weeks ago


Charleston, West Virginia, United States WPS Health Solutions Full time
About the Role

We are seeking a highly skilled and experienced Senior Vice President to lead our actuarial and underwriting functions. As a key member of our leadership team, you will be responsible for developing and implementing pricing strategies, managing network contracts, and driving financial growth objectives.

Key Responsibilities
  • Lead the actuarial and underwriting functions, ensuring adherence to sound pricing and reserving practices.
  • Develop and implement pricing strategies, including evaluating new products and financial forecasting.
  • Manage network contracts, ensuring a competitive value proposition in all geographies served.
  • Build relationships with segment leadership, clinical program leadership, and corporate actuarial and finance staff to achieve financial growth objectives.
  • Develop innovative measures and visualization techniques to turn data into actionable insights.
  • Mitigate pharmacy cost trend through contract negotiation and implementation of innovative models.
  • Launch an affordability of care discipline, ensuring the highest degree of claims payment accuracy.
  • Lead financial management, forecasting, and budgeting activities.
Requirements
  • Bachelor's degree or equivalent combination of education and experience.
  • 10+ years experience in Healthcare Economics or similar experience.
  • Experience working with healthcare data, including designing, evaluating, and interpreting complex data sets.
  • Deep business acumen and fundamental understanding of current issues and trends within the medical/commercial product space.
  • Thorough understanding of product design and demonstrated product design experience.
  • Demonstrated success in product development, monitoring, reporting, and quality improvement.
  • Proven consumer/client centric mindset and capabilities in strategic planning and large-scale project management.
What We Offer
  • Competitive salary range: $285,000 - $350,000.
  • Performance merit increase opportunities.
  • 401(k) with dollar-per-dollar match up to 6% of salary.
  • Competitive paid time off.
  • Health insurance, dental insurance, and telehealth services start DAY 1.
  • Employee Resource Groups.
  • Professional and Leadership Development Programs.


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