Associate Director, Healthcare Economics

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description:

Location: We support US flexible working arrangements in the contiguous 48 states.  

At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America. 

The opportunity: The Associate Director of Healthcare Economics will support the Health & Risk Solutions business via the Actuarial Pricing team. Primary focus will be pricing PPO Networks, PBMs, TPAs, and other vendors within our Stop-Loss product. This role will work with Product, Distribution, and Underwriting to identify, manage, and capitalize on viable growth opportunities.

How you will contribute:

• Evaluate the impact of internal and external health vendors and determine the impact on catastrophic claims
• Develop appropriate pricing strategies to reflect health vendors’ impact in stop-loss pricing
• Partner with Underwriting, Distribution, and Product Management to identify, support, and grow profitable relationships or fix unprofitable relationships
• Establish and maintain effective pricing models for evaluating traditional medical networks
• Identify, evaluate, and monitor new medical network structures (ACOs, reference-based pricing, narrow networks)
• Provide ongoing pricing assessments of administrators and PBMs as well as any associated cost containment programs
• Proactively search for additional information used to enhance pricing models
• Identify and execute corrective actions as needed to manage pricing for networks, TPAs, PBMs, and other vendors
• Evaluate and recommend processes to improve quality and efficiency of business
• Mentor, train, and develop actuarial students

What you will bring with you:

• Ability to work with a diverse range of people
• Fellow or experienced Associate of the Society of Actuaries with at least 5-7 years of relevant actuarial experience
• Strong project management skills with a proven commitment to quality and meeting deadlines while handling multiple priorities
• Strong application of mathematical and statistical methods to measure health outcomes
• Work well both independently and in a team environment
• Superior communication skills, technical expertise, and business acumen
• Ability to deal with imperfect data, and identify supplemental data sources
• Ability to work effectively with multiple functional areas
• Strong technical, analytical, and problem-solving skills, with ability to think creatively for new and improved solutions
• Strong verbal and written communication skills; articulate and persuasive
• Excellent interpersonal skills and comfortable dealing with a broad range of internal clients

Do you see yourself in this role even if you haven’t checked all the boxes above? We welcome all talented candidates and are committed to a culture that represents diversity in all forms. If you think you might thrive in this setting, we would love to hear from you.

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Life is brighter when you work at Sun Life

• Excellent benefits and wellness programs to support the three pillars of your well-being – mental, physical and financial – including generous vacation and sick time, market-leading paid family, parental and adoption leave, a partially-paid sabbatical program, medical plans, company paid life and AD&D insurance as well as disability programs and more
• Retirement and Stock Purchase programs to help build and enhance your future financial security including a 401(k) plan with an employer-paid match as well as an employer-funded retirement account
• A flexible work environment with a friendly, caring,