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Point32Health

Vice President, Commercial Pricing & Forecasting

Point32Health, Canton, Mississippi, United States, 39046


Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click

here .

Job Summary

The Vice President of Commercial Pricing & Forecasting is responsible for pricing, filing and certifying rates, developing and maintaining rating methodologies, rate factor development, actuarial support for Underwriting, ensuring compliance with new and existing regulatory requirements and assessing our competitiveness in the markets we serve. In addition, responsible for development and maintenance of forecasting models, completion of the financial plan and the ongoing assessment of the financial performance of products and markets, impacting in excess of $4B in revenue. Responsible for prospective pricing and forecasting trends. Supports new product development initiatives, including expansion activities.

Key Responsibilities/Duties – what you will be doing

Develop actuarially sound rates for all Commercial lines of business and markets

Support underwriting methodology enhancements and new tool development

Perform actuarial studies in support of Underwriting, including factor updates, rate structure changes, profitability analysis and segment performance

Work with market teams on new product development, market positioning and competitive analysis

Develop, maintain, and enhance forecasting models

Responsible for forecast and plan development, including revenue, medical expense, pharmacy, pharmacy rebates, capitation, fixed medical, broker commission and other miscellaneous expense items for both the fully and self-insured segments

Monitor actual to expected results and analyze drivers of variance

Analyze historical trend and project future pricing trend

Support regulatory reporting and compliance, e.g. CHIA premium reporting, Mental Health Parity

Support business expansion efforts into new states and/or products

Hire, onboard, engage and monitor performance of team members

Other projects and duties as assigned.

Qualifications – what you need to perform the job

Certification and Licensure

Fellow of the Society of Actuaries (FSA) or Associate of the Society of Actuaries (ASA) designation preferred

Education

Bachelor’s degree required.

Master’s degree preferred.

Experience (minimum years required):

Required (minimum): 10 years of progressively responsible experience in health care actuarial related functions, including pricing, underwriting, forecasting & product development.

Skill Requirements

Ability to work in a matrix environment and maintain positive relationships across the organization

Experience managing through change and complexity

Ability to build and inspire teams

Advanced critical thinking and problem solving ability

Advanced proficiency in MS Office and software applications

Compensation & Total Rewards Overview

As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

Medical, dental and vision coverage

Retirement plans

Paid time off

Employer-paid life and disability insurance with additional buy-up coverage options

Tuition program

Well-being benefits

Full suite of benefits to support career development, individual & family health, and financial health

Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity

Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

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