Director Actuarial Services, Geisinger Health Plan

Role overview Lead a portfolio of healthcare analytics within Medical Economics, setting priorities and overseeing staff, analytic deliverables, and the payer analytics platform. The role turns financial, claims, utilization, and market information into dependable insights that inform pricing, forecasting, contracting, and business decisions. Its focus is healthcare analytics and leadership experience rather than actuarial credentials.

Responsibilities - Establish standards for financial recasts, membership and premium reporting, medical loss ratios, and utilization and expense trends. - Review audits and analytic models used by executive leaders, and oversee claim and premium deficiency reserves in coordination with auditors. - Direct product pricing work, including pricing models, internal strategy development, and regulatory approval processes. - Guide forecasting, underwriting, performance monitoring, trend analysis, and comparisons with budgets and external benchmarks. - Assess the financial and operational effects of regulatory changes and support strategic planning with research and modeling. - Provide direction to technology teams on data aggregation and extracts, coordinate accurate operations, and mentor developing talent.

Requirements - Bachelor’s degree. - At least 7 years of experience in health insurance or managed care. - At least 3 years of managerial or supervisory experience. - Ability to lead analytics work and collaborate across departments; the source does not specify an actuarial credential requirement.

Benefits and work setup - Remote work from Pennsylvania, on a regular 40-hour weekly schedule. - Healthcare benefits are offered to full-time and part-time employees from the first day, including vision and dental coverage and domestic partner benefits. - The work environment is described as collaborative and collegial.