Director & Actuary (Administrative)

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve.

The Director & Actuary Commercial Pricing leads the development and execution of pricing strategies for the organization's commercial health insurance products, including fully insured and self-funded plans across small group, large group, and level-funded markets. This role is responsible for ensuring rate adequacy, competitiveness, and compliance with regulatory requirements, while supporting growth and profitability objectives. The position reports to the Director & Actuary Commercial Markets

Key Responsibilities:

• Lead pricing strategy and rate development for commercial products, including medical and ancillary benefits.
• Collaborate with underwriting, product, sales, and finance teams to align pricing with market dynamics and business goals.
• Monitor and analyze utilization and unit cost trends, working with others in the Actuarial team; recommend pricing adjustments based on emerging experience.
• Ensure compliance with state and federal rate filing requirements; support DOI interactions and respond to regulatory inquiries.
• Oversees and reviews the development and maintenance of actuarial tools and models to support pricing decisions and financial projections.
• Provide leadership and mentorship to actuarial analysts and managers; foster a culture of analytical rigor and innovation.
• Present pricing strategy and performance insights to leadership and cross-functional stakeholders

Qualifications:

• ASA or FSA designation with 8+ years of actuarial experience in commercial health insurance.
• Deep understanding of healthcare cost drivers, benefit design, and risk adjustment methodologies.
• Proven experience with ACA, level-funded, and large group pricing.
• Strong analytical and communication skills; ability to translate complex data into actionable insights.
• Proficiency in actuarial software (e.g., SQL, SAS, R, Excel, Python) and data visualization tools.
• Experience managing teams and cross-functional projects.

 

Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.