Director, Medical Stop Loss Pricing & Strategy
$158.8k - $238.2kPrudential Financial, Inc.
Job Classification: Actuarial - Actuarial At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you'll unlock a motivating and impactful career - all while growing your skills and advancing your profession at one of the world's leading financial services institutions! For more than 140 years, Prudential Financial Inc. has helped individual and institutional customers grow and protect their wealth. Today, we are one of the world's largest financial services institutions with operations in the United States, Asia, and Latin America. We also have one of the most recognized and trusted brand symbols: The Rock®, an icon of strength, stability, expertise, and innovation. The Director, Actuary (Medical Stop Loss Pricing) will be responsible for leading pricing and actuarial initiatives for Prudential Group Insurance's Medical Stop Loss products, supporting the growth and profitability of this rapidly expanding market segment. This role will collaborate closely with product, underwriting, claims, and distribution teams to develop and implement manual rates, network discount assumptions, pricing strategies, risk management practices, and drive innovation in Medical Stop Loss offerings. This position reports to the Vice President of Finance and Actuarial responsible for our growth products: Supplemental Health and Medical Stop Loss. The current employee work arrangement for this position is hybrid or virtual and may require your on-site presence on a reoccurring basis as determined by your business, dependent on the candidate's location. Your manager will provide additional details relative to the specific number of days you are expected to be on-site. What you can expect: Serve as a key stakeholder in Prudential Group Insurance's strategy to grow Medical Stop Loss products, partnering with Distribution, Underwriting, Product and P&L Leadership, Claims, and Operations to drive profitable growth. Develop and execute pricing strategies for Medical Stop Loss, including disciplined implementation, training in pricing tools, and collaboration across functions. Provide technical guidance in the development and enhancement of new Medical Stop Loss products, including assumption development, reserve and capital requirements, modeling, and pricing. Lead pricing and filing of manual rates, and develop experience rating methodologies as product experience matures. Analyze claims data, market trends, and regulatory changes to inform pricing and risk management decisions. Collaborate with external partners and vendors to enhance underwriting and claims capabilities, and evaluate opportunities for automation and insourcing of actuarial functions. Opportunity to expand into other products within Prudential Group Insurance, including Life, Disability, and Supplemental Health. What you'll need: 7+ years of actuarial experience, including direct experience with Medical Stop Loss or health insurance product development, pricing, actuarial and financial projections. Deep understanding of Medical Stop Loss market dynamics, including specific and aggregate stop loss, risk transfer mechanisms, and employer self-funding strategies. Strong quantitative and analytical skills, with expertise in healthcare data analysis, actuarial modeling, and risk assessment. Excellent written and verbal communication skills to convey pricing results, profitability metrics, and risks to senior leaders and key stakeholders. Data-driven mindset with the ability to make decisions informed by reliable data and insights. Collaborative and inclusive team player, able to build relationships across internal and external teams. Professional actuarial designation (FSA, ASA, MAAA, or equivalent) required. Experience with regulatory filings, compliance, and market monitoring for Medical Stop Loss products. Familiarity with actuarial software (e.g., Excel, Access, SAS, SQL) and advanced modeling techniques. Prudential welcomes all applicants, even if you don't meet every requirement. If your skills align with the role, we encourage you to apply. At Prudential, you can: Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. We offer a suite of services such as on demand resources and networking to propel your career forward. We're a global organization, full of outstandingly dedicated people who aren't afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose.
#LI-RRJ
What we offer you: Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $158,800.00 to $238,200.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Market competitive base salaries, with a yearly bonus potential at every level. Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave. 401(k) plan with company match (up to 4%). Company-funded pension plan. Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs. Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development. Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs. Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service. Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance. To find out more about our Total Rewards package, visit Work Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week. Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom. Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law. If you need an accommodation to complete the application process, please email View email address on click.appcast.io. If you are experiencing a technical issue with your application or an assessment, please email View email address on click.appcast.io to request assistance. #J-18808-Ljbffr Prudential Financial, Inc.$158.8k - $238.2k
Director, Actuary (Medical Stop Loss Pricing) The Director, Actuary (Medical Stop Loss Pricing) will lead pricing and actuarial initiatives for Prudential... ...manual rates, network discount assumptions, pricing strategies, risk management practices, and drive innovation in...Medical- ...seeking an experienced Senior Underwriter to manage large, complex Medical Stop Loss cases with minimal oversight. You will determine accept/... ...regulations. You will apply underwriting judgment, set pricing, and negotiate within authority while supporting sales and clients...Medical
$160.3k - $297.7k
...business (domestic and/or international). The Associate Director, Channel & Pricing Strategy will be responsible for developing specific product and... ...needs; align strategy with other key Sales, Marketing, Medical and Managed Care functions and ensures cross‑functional...MedicalContract workRemote workRelocation- Prudential Financial, Newark-based, seeks a Medical Stop Loss Underwriting Specialist to assess risk, price policies, and support profitability and reputation. You... ..., applying underwriting judgment and pricing strategy across the book of business. In this role you will...Medical
$82.5k - $136.1k
Medical Stop Loss Underwriting Specialist The Medical Stop Loss Underwriting Specialist is primarily... ...judgment independently, formulate pricing decisions, negotiate within authority limits... .... Understand and apply current pricing strategy across the book of business. Work...MedicalWork experience placement- Prudential Financial, Inc. seeks a Medical Stop Loss Underwriting Specialist within Group Insurance. This role underwrites medical stop loss... ...will assess risk using census data and claims history, quote pricing, negotiate with brokers and clients, and support process improvements...Medical
$161.32k - $206.57k
...Job Title: Director Patient Care Location: Cooperman Barnabas Medical Ctr Department Name: Labor & Delivery Req #: 0000235121 Status: Salaried Pay... ...health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and...MedicalFull timeWork experience placementLocal areaFlexible hoursAfternoon shift$141.5k - $268.5k
...issues today and address the medical challenges of tomorrow. We strive... ...Job Description The340B Drug Pricing Programhas become a critical... ...has implemented important strategies and policy changes to tackle... ...340B Strategy and Innovation Director and is an expert in the business...MedicalFull time$142.4k - $224.1k
Job Description Associate Director, Global Marketing MMRV Strategy is a key role on the franchise with many exciting... ...and executing tendering, pricing and brand strategies Strong analytical... ...benefits. Available benefits include medical, dental, vision healthcare and...MedicalFor contractorsLocal areaRelocationVisa sponsorshipFlexible hoursShift work$170k - $200k
...of tax‑beneficial investment strategies using exchange‑traded funds (... ...portfolios for rebalancing, tax‑loss harvesting opportunities, and... ...70,000 to $200,000. Specific pricing for the role may vary within... ...potential at every level. Medical, dental, vision, life insurance...Medical- ...RWJBarnabas Health is seeking a Director of Advanced Heart Failure & Transplant to lead... ...flagship program at Newark Beth Israel Medical Center in Newark, NJ. This high-visibility... ...regulatory compliance (UNOS/CMS). System Strategy: Expand our region-wide outreach...MedicalLocal area
$147.1k - $220.7k
...Project Mgmt, Transformation & Strategy - Project Mgmt,... ...is the role for you. As the Director, Process Excellence , you will... ....00 to $220,700.00. Specific pricing for the role may vary within... ...bonus potential at every level. Medical, dental, vision, life insurance...MedicalPart timeWork at office3 days per week$175k - $215k
...Dec. 31, 2023. We’re seeking a Director, Workforce Analytics to lead AI-first analytics strategy and deliver insights for people... ...$175,000 to $215,000. Specific pricing may vary within the above range... ...bonus potential at every level. Medical, dental, vision, life insurance...Medical$175k - $215k
...You Can! What You Will Do The Director, People Analytics serves as... ...solutions aligned with business strategy Frame complex workforce... ...5,000 to $215,000 . Specific pricing for the role may vary within... ...bonus potential at every level. Medical, dental, vision, life...MedicalPart time3 days per week- Prudential seeks a Medical Stop Loss Underwriting Specialist in Newark, NJ to underwrite medical stop loss risks in accordance with regulatory and internal policies, contributing to profitability and the company’s reputation. You will evaluate census data and claims history...Medical
- Prudential Ins Co of America is seeking a Head of Stop Loss Claims to spearhead the claims organization and drive strategic leadership in... ...will have over 10 years in group insurance claims, focusing on medical stop loss, with strong leadership and technical expertise. A...Medical
$210k - $250k
...The Associate Director of Access & Reimbursement is responsible for leading the development... ...of US market access and reimbursement strategies to ensure optimal payer coverage and... ...closely with commercial, marketing, medical and pricing teams to shape payer strategy across...MedicalLong term contractLocal areaImmediate start- ...health issues today and address the medical challenges of tomorrow. We strive... ...Job Description The Associate Director, US Market Access, Payer Strategy will lead development, evolution, and... ...driving market access marketing and pricing strategy for VYALEV across all payer...MedicalFull timeLocal area
$114.5k - $188.9k
...Day Support the Workforce IAM Director and senior leaders by... ...controls, translating program strategy into adoptable patterns and delivery... ....00 to $188,900.00. Specific pricing for the role may vary within... ...potential at every level. Medical, dental, vision, life insurance...MedicalPart time- Eisai US is seeking an Associate Director for Digital Medical Strategy in Oncology, based in Nutley, NJ. The role focuses on developing global digital strategies for Medical Affairs, utilizing AI and data analytics to enhance scientific communication and platforms. The...Medical
$135k - $180k
...experienced HR Business Partner to work closely with the Chief Strategy Officer and the Head of Professional Services. This hybrid role... ...offers a salary range of $135K - $180K, along with comprehensive benefits including medical and 401(k) matching. #J-18808-Ljbffr MediDataMedical$185k - $220k
...Job Summary The Director, Medical Affairs (Nutrition) is responsible for leading and managing medical affairs for approved nutrition products... ..., Business Development, and Post-Marketing medical affairs strategies. Collaborates cross-functionally and globally to ensure...MedicalWork at officeNight shift$170.3k - $223.5k
...we are committed to improving patient care through innovative medicine and advance scientific research. The Associate Director, Digital Medical Strategy - Oncology will lead the execution and operationalization of digital initiatives that support Medical Affairs,...MedicalWork at office$145.6k - $270.4k
...Description Summary Location: #LI-Hybrid Strategy, Platforms & Transformation enables... ...driven decisions. Reporting to the Executive Director, Data Strategy, the Associate Director,... ...with disabilities. If, because of a medical condition or disability, you need a reasonable...MedicalOngoing contractHome office$170.3k - $223.5k
At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and... ...paced environment and make a difference. The Associate Director, Digital Medical Strategy is responsible for the execution and operationalization...MedicalWork at office$161.5k - $212k
...Associate Director, Government Contracts page is loaded## Associate Director, Government... ...id: R4024At Eisai, satisfying unmet medical needs and increasing the benefits healthcare... .... Develops, analyzes, and processes pricing strategies, contract language defining performance...MedicalContract workWork experience placement$156.9k - $247k
...organization respond to a rapidly evolving pricing, reimbursement, and policy environment.... ...and analyses to inform MFN‑related strategy and planning Deliver clear, actionable insights... ...of benefits. The benefits include medical, dental, vision, and other healthcare and...MedicalFor contractorsLocal area3 days per week$156.9k - $247k
...Global Access Insights Associate Director in Vaccines & Infectious... ...intersection of market access strategy, analytics, and research, supporting... ...to inform global access, pricing, and reimbursement strategies... ...applicable. Benefits include medical, dental, vision, healthcare,...Medical3 days per week$116.62k - $191.48k
Rutgers University is hiring a Director of Administration for the Department of Otolaryngology... ...Head and Neck Surgery at the New Jersey Medical School. The role involves leading the... ...policies, annual budgeting, financial strategies, internal reporting, and audit controls....MedicalFull time$141.5k
...issues today and address the medical challenges of tomorrow. We strive... ...and collaborative Associate Director to provide analytics... ...analytics supporting forward-looking strategies, enabling enterprise... ...inform market access strategies, price reform and policy analysis, with...MedicalTemporary workLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director, Medical Stop Loss Pricing & Strategy. Be the first to apply!
- pathology director Newark, NJ
- director of reimbursement Newark, NJ
- director of public safety Newark, NJ
- director of community relations Newark, NJ
- director vendor management Newark, NJ
- director life science Newark, NJ
- director biology Newark, NJ
- director medical writing Newark, NJ
- director of radiology Newark, NJ
- publishing director Newark, NJ


