Senior Director, US Medical & Pharmacy

Comcast Resume • Philadelphia, PA

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About The Position

The Senior Director, US Medical & Pharmacy is a key leader within 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 enhancing employee wellbeing, improving access to high-quality care, and supporting long-term cost sustainability. It requires exceptional financial acumen, deep knowledge of employer-sponsored health care, strong executive presence, and the ability to translate complex clinical, financial, and operational data into clear insights and actionable recommendations.

The position leads U.S. medical and pharmacy strategy and design, financial oversight and analytics, health plan governance and vendor oversight, and people leadership. It advises HR Business Partners, Finance, Labor Relations, and other business leaders; works with actuarial, Procurement, Legal, Compliance, and other partners; and leads 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 demonstrated 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 using 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.
• Demonstrated 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.
• Employees at all levels are expected to understand and follow Comcast’s Operating Principles, own the customer experience, learn and advocate for Comcast technology and services, work as a team, participate in the Net Promoter System, drive results and growth, support inclusion, and do what is right for stakeholders 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, network strategies, pharmacy delivery models, clinical programs, and emerging care delivery approaches to improve health outcomes, access, employee experience, and affordability.
• Monitor the evolving health care market, including emerging cost drivers, market innovation, health system and provider practices, and regulatory changes that may affect plan performance or utilization.
• Develop business cases for new 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 within the Benefits Fiduciary and Benefits Management Committees governance framework.
• 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 its value among HR, business leaders, ERGs, and other stakeholders.
• Lead financial stewardship of self-funded medical and pharmacy programs, providing visibility into performance, cost drivers, risks, and opportunities.
• Evaluate plan performance and health care investments by analyzing claims trends, financial and member outcomes, ROI, and overall value.
• Apply health care financing and underwriting knowledge to inform budget assumptions and financial decisions.
• Partner with actuarial partners on annual accrual rate setting, claims forecasting, IBNP reserve setting, and ongoing claims performance 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 emerging utilization and cost patterns, detect anomalies, and anticipate financial and clinical risk.
• Maintain governance of U.S. medical and pharmacy programs and hold partners accountable for financial, clinical, service, and employee experience outcomes.
• Lead strategic 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, ensuring root causes, member impact, financial implications, and corrective actions are identified and addressed.
• Partner with Legal, Compliance, and internal stakeholders to ensure ongoing plan compliance with ERISA, ACA, HIPAA, CAA, Mental Health Parity requirements, and other applicable federal and state health and welfare 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 clear priorities, empower the team with ownership and accountability, and drive execution and results.
• Build a high-performing team culture grounded in curiosity, collaboration, accountability, and continuous learning.
• Follow Comcast’s Operating Principles; put customers first, support the Net Promoter System, drive results and growth, promote inclusion, and act in the interests of colleagues, customers, investors, and communities.

Benefits

• Comcast provides an array of benefits options, expert guidance, and always-on tools personalized to support employees physically, financially, and emotionally through major milestones and everyday life. Applicants are directed to the benefits summary on the careers site for details.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior