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Actuarial Director
2 months ago
**About Prudential plc**
Prudential plc is a leading international financial services group, serving over 26 million customers in Asia, the US and the UK. Our purpose is to be partners for every life and protectors for every future.
**Our Culture**
We strive to create a culture where diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people's career ambitions.
**Job Summary**
We are seeking an experienced Actuarial Director to join our Performance Management and Actuarial Supports organization. The successful candidate will be responsible for providing actuarial oversight across all health-related pricing, underwriting and claims practices.
**Key Responsibilities**
- Develop and execute new, innovative pricing strategies that will allow the company to build out a sustainable health insurance business.
- Partner with the Propositions team to deliver new, innovative health insurance solutions that are both marketable and profitable.
- Participate in the Product Governance (Product Approval Process)
- Support the Connected Care and Technical Excellence teams as they design and implement various medical claims cost containment initiatives.
- Design product features that impact customer behavior as a way to better control medical cost (i.e. steerage)
- Support the LBU Pricing and Actuarial Teams as they develop and implement health-related pricing initiatives (i.e. Risk Based Pricing)
**Requirements**
- Bachelor's degree in actuarial science, mathematics, statistics, finance, or a related field
- Extensive experience in actuarial analysis, performance management and financial service industry
- Strong analytical and problem-solving skills to interpret complex data and provide strategic insights for decision making.
- Ability to collaborate with cross-functional teams to develop and implement performance management strategies and initiatives.
- Extensive experience in healthcare management, analytics, fraud, waste, and abuse detection
- Strong analytical skills and proficiency in data analysis tools and techniques
- Knowledge of healthcare billing and coding practices, reimbursement, methodologies and regulatory requirements.
