Director, Actuary (Medical Stop Loss Pricing)

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.

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