Senior Director, US Medical & Pharmacy

Comcast•Philadelphia, PA

17h

About The Position

The Senior Director, US Medical & Pharmacy is a key leader within Comcast Global Benefits, responsible for the strategy, financial stewardship, governance, and performance of Comcast’s U.S. medical and pharmacy programs. The role leads a complex health care ecosystem focused on improving employee wellbeing and access to high-quality care while supporting long-term cost sustainability. It requires strong financial acumen, deep knowledge of employer-sponsored health care, executive presence, and the ability to translate clinical, financial, and operational data into clear insights and recommendations. The position develops and executes medical and pharmacy strategy; evaluates plan designs, networks, pharmacy delivery models, clinical programs, and emerging care approaches; and builds business cases for programs, benefit changes, and investments. It advises senior stakeholders, supports benefits governance committees, and creates executive-level materials to guide decisions. The role oversees the financial performance of self-funded medical and pharmacy programs, including claims analysis, forecasting, actuarial coordination, budgeting, and long-range planning. It maintains program governance, oversees vendors and complex issue resolution, and partners with internal teams to ensure regulatory compliance and improve oversight and operational efficiency through technology, AI, and automation. It also leads, coaches, and develops the Senior Manager responsible for medical and pharmacy operations, analytics, and vendor management.

Requirements

Demonstrated leadership experience across U.S. employer-sponsored medical and pharmacy programs within a large, complex organization, consulting firm, health plan, or related health care organization.
Deep expertise in self-funded medical and pharmacy plans, including plan design, provider networks, PBM economics, clinical programs, and health plan operations.
Exceptional financial acumen and experience analyzing health care claims, utilization, unit cost, trend, forecasting, and underlying cost drivers.
Strong knowledge of health care actuarial and underwriting concepts, including rate development, claims forecasting, reserves, and long-range financial planning.
Experience leveraging advanced analytics, predictive modeling, and emerging AI capabilities to identify trends, anticipate risks, and inform decisions.
Proven success leading complex vendor relationships, negotiations, and performance management.
Strong executive presence and ability to distill complex health care and financial concepts into compelling recommendations for senior leaders.
Ability to navigate ambiguity, solve complex problems, and move between strategic thinking and execution in a dynamic, fast-paced environment.
Strong understanding of ERISA, ACA, Mental Health Parity, HIPAA, and the broader regulatory environment affecting employer-sponsored health plans.
Demonstrated people leadership and a track record of developing high-performing talent.
Bachelor’s degree required.
10 years or more of relevant work experience.
Employees are expected to understand and apply Comcast’s Operating Principles, prioritize customer experience, learn and advocate for the company’s technology and services, collaborate, participate in the Net Promoter System, drive results and growth, support inclusion, and act responsibly toward colleagues, customers, investors, and communities.

Nice To Haves

Advanced degree or relevant professional credentials preferred.

Responsibilities

Lead development and execution of Comcast’s U.S. medical and pharmacy strategy in alignment with business priorities.
Evaluate plan design, provider network strategies, pharmacy delivery models, clinical programs, and emerging care delivery approaches to improve health outcomes, access, employee experience, and affordability.
Monitor health care market developments, cost drivers, innovations, provider practices, and regulatory changes that may affect plan performance or utilization.
Develop business cases for programs, benefit changes, and investments, balancing employee impact, clinical value, financial outcomes, and operational complexity.
Advise HR Business Partners, Finance, Labor Relations, and other business leaders on health care strategy, performance, and market dynamics.
Lead health care strategy and performance discussions through the Benefits Fiduciary and Benefits Management Committees.
Develop executive-level materials and data visualizations to support decisions on health care investments and priorities.
Build understanding of Comcast’s health care strategy and value among HR, business leaders, ERGs, and other stakeholders.
Oversee financial stewardship of self-funded medical and pharmacy programs, including visibility into performance, cost drivers, risks, and opportunities.
Evaluate plan performance and investments by analyzing claims trends, member and financial outcomes, ROI, and value delivered.
Apply health care financing and underwriting principles to inform budget assumptions and financial decisions.
Partner with actuarial partners on annual accrual rate setting, claims forecasting, IBNP reserve setting, and ongoing claims monitoring.
Support multi-year health care cost forecasting in alignment with Comcast’s Long Range Planning process.
Partner with Finance to monitor plan performance and reconcile actual plan payments against actuarial forecasts.
Advance predictive analytics and AI-enabled tools to monitor claims, identify utilization and cost patterns, detect anomalies, and anticipate financial and clinical risks.
Maintain governance of U.S. medical and pharmacy programs and hold partners accountable for financial, clinical, service, and employee experience outcomes.
Lead vendor relationships and performance discussions, partnering with Procurement and Legal on sourcing, negotiations, renewals, performance guarantees, and contracting.
Lead resolution of complex or systemic program issues, identifying root causes, member impact, financial implications, and corrective actions.
Partner with Legal, Compliance, and internal stakeholders to support compliance with ERISA, ACA, HIPAA, CAA, Mental Health Parity requirements, and other applicable regulations.
Drive continuous improvement through technology, AI, and automation to strengthen vendor oversight, controls, and operational efficiency.
Lead, coach, and develop the Senior Manager responsible for medical and pharmacy operations, analytics, and vendor management.
Set priorities, empower the team with ownership and accountability, and build a high-performing culture of curiosity, collaboration, accountability, and continuous learning.