Director, Self-Funded Health Care Strategy & Plan Economics

Victra-Verizon Authorized Retailer; Durham (NC); Hybrid; USD 180,000 - 260,000; Full time

Benefits offered by this job

Health insurance

Dental and vision insurance

401k retirement plan

Tuition reimbursement

Employee discounts on Verizon services

Referral bonuses

Career growth opportunities

Job summary

Victra-Verizon Authorized Retailer seeks a Director of Health Care Strategy & Plan Economics to lead the self-insured benefits program. The role combines actuary-like analysis, vendor negotiations, and plan design strategy to drive savings and robust governance across TPA and PBM relationships.

The position partners with Finance and Total Rewards to re-underwrite how the company buys and manages health care, with a goal of 3–5x savings relative to fully-loaded cost within 12–18 months and

Qualifications

• Experience shaping self-insured health plans and evaluating vendor contracts.
• Ability to build trend models, IBNR estimates, ROI cases for CFO review.
• Demonstrated governance, risk and compliance orientation for ERISA/PBM requirements.

Responsibilities

• Own TPA and PBM economics, audits, and RFPs.
• Redesign benefit tiers, networks and formularies for cost management.
• Develop financial forecast, trend assumptions, and report to executive leadership.

Skills

Health plan strategy

PBM/TPA management

Financial modeling

Negotiation

Education

Bachelor's degree in finance/health administration/actuarial

Job description

Victra-Verizon Authorized Retailer seeks a Director of Health Care Strategy & Plan Economics to lead the self-insured benefits program. The role combines actuary-like analysis, vendor negotiations, and plan design strategy to drive savings and robust governance across TPA and PBM relationships.

The position partners with Finance and Total Rewards to re-underwrite how the company buys and manages health care, with a goal of 3–5x savings relative to fully-loaded cost within 12–18 months and