Health Actuary – Pricing Strategy & Risk Modeling

Oliver James Group; Philadelphia, Northern (Philadelphia County, KY); Hybrid; USD 140,000 - 230,000; Full time

Job summary

Oliver James Group is supporting a prominent insurer by sourcing an FSA credentialed Actuary to lead health pricing initiatives. The role focuses on developing and maintaining health pricing strategies and models, analyzing claims experience and medical trends, and evaluating financial risk to guide profitable product decisions.

You will collaborate with underwriting, claims and commercial teams to ensure regulatory compliance and robust pricing.

Qualifications

• Must hold an FSA designation in health actuarial work.
• Experience developing and maintaining health pricing strategies and models.
• Experience with risk adjustment and financial modelling.

Responsibilities

• Develop and maintain health pricing strategies and pricing models.
• Analyse claims experience, medical trends and financial risk to support profitable product decisions.
• Price new and existing business, assess rate adequacy and model expected claims, premiums and profitability.

Skills

FSA credentialed

Health pricing

Pricing strategy

Financial modelling

Claims analysis

Regulatory compliance

Job description

Oliver James Group is supporting a prominent insurer by sourcing an FSA credentialed Actuary to lead health pricing initiatives. The role focuses on developing and maintaining health pricing strategies and models, analyzing claims experience and medical trends, and evaluating financial risk to guide profitable product decisions.

You will collaborate with underwriting, claims and commercial teams to ensure regulatory compliance and robust pricing.