About The Position

This role will lead the National Ancillary & Out of Network Protection Analytics & Reporting team. The role is pivotal in driving U.S employer affordability strategies, delivering actionable insights to support national ancillary networks and contracting and cost containment initiatives, and partnering with the Product, Clinical, Network and Contracting teams to influence and deliver new solutions we want to bring to market. Key Responsibilities Strategic Leadership & Team Management Lead and develop two high-performing teams: National Ancillary and Out of Network Analytics and Reporting. Foster a culture of innovation, collaboration, and continuous improvement across analytics functions. Partner with matrixed stakeholders including: Affordability, Contracting, Sales/UW, Product, Clinical and trend Analytics. ·Affordability & Contracting Analytics Drive unit cost affordability planning and monitor medical cost trends and risks. Identify and evaluate national ancillary contracting opportunities partnering closely with the Contracting team. Lead the teams to building, refine, and deploy savings, earnings impacts and vendor contract financial models and methodologies. Redefine our affordability goals and initiatives and develop an ongoing processes to help achieve those goals and track forecasts to actuals Prioritize affordability needs and ensure senior leaders understand value vs cost vs abrasion tradeoff decisions. Refine and enhance affordability tracking, including operational, financial and vendor reporting and processes while standardizing our team’s approach to measuring affordability, savings and earnings. ·Reporting & Innovation Partner closely with the Contracting, Clinical, Network and Product organizations, leveraging business and analytical skills to help shape any new offerings to ensure it meets the needs of our stakeholders. Refine and enhance the operational, financial and vendor performance tracking and reporting Keeping an eye on upcoming projects to ensure we have the right capacity across the broader actuarial and analytics team to support. Refine our financial projections, earnings tracking and reserve planning Continue to align the pricing, financial methodology and performance tracking for oversight ·Talent Development Motivate and challenge staff to reach their highest potential. Ensure alignment of team goals with broader organizational objectives. Lead hiring and onboarding efforts for critical roles, ensuring analytical and technical excellence.

Requirements

  • Bachelors degree in Finance, Actuarial Science, Business, Data Analytics or related field preferred
  • 10+ years of experience in actuarial, finance, pricing, or analytics roles, with demonstrated leadership in national or enterprise-level initiatives.
  • Proven ability to lead cross-functional teams and manage complex projects.
  • Deep understanding of medical pricing, provider contracting, and affordability strategy.
  • Strong communication and stakeholder engagement skills across all levels from executive leaders to individual contributors.
  • Self-starter; highly motivated to grow, continuously improve, and develop subject matter expertise and cross train the team in enhancing analytics, reporting and industry knowledge around what is impacting affordability.
  • Exceptional strategic thinking, problem-solving, and executive communication skills.
  • Experience with advanced analytics, modeling techniques, and data science integration.
  • Experience working in a matrixed organization with strong internal relationship-building skills.
  • Excellent communication skills with the ability to translate complex topics into clear, actionable insights
  • If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

  • FSA/MAAA designation strongly preferred.

Responsibilities

  • Lead and develop two high-performing teams: National Ancillary and Out of Network Analytics and Reporting.
  • Foster a culture of innovation, collaboration, and continuous improvement across analytics functions.
  • Partner with matrixed stakeholders including: Affordability, Contracting, Sales/UW, Product, Clinical and trend Analytics.
  • Drive unit cost affordability planning and monitor medical cost trends and risks.
  • Identify and evaluate national ancillary contracting opportunities partnering closely with the Contracting team.
  • Lead the teams to building, refine, and deploy savings, earnings impacts and vendor contract financial models and methodologies.
  • Redefine our affordability goals and initiatives and develop an ongoing processes to help achieve those goals and track forecasts to actuals
  • Prioritize affordability needs and ensure senior leaders understand value vs cost vs abrasion tradeoff decisions.
  • Refine and enhance affordability tracking, including operational, financial and vendor reporting and processes while standardizing our team’s approach to measuring affordability, savings and earnings.
  • Partner closely with the Contracting, Clinical, Network and Product organizations, leveraging business and analytical skills to help shape any new offerings to ensure it meets the needs of our stakeholders.
  • Refine and enhance the operational, financial and vendor performance tracking and reporting
  • Keeping an eye on upcoming projects to ensure we have the right capacity across the broader actuarial and analytics team to support.
  • Refine our financial projections, earnings tracking and reserve planning
  • Continue to align the pricing, financial methodology and performance tracking for oversight
  • Motivate and challenge staff to reach their highest potential.
  • Ensure alignment of team goals with broader organizational objectives.
  • Lead hiring and onboarding efforts for critical roles, ensuring analytical and technical excellence.

Benefits

  • Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
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