Judi Rx delivers transparent, member-focused PBM solutions, while Judi Care provides medical, vision, and dental benefits through Judi®, supporting millions of plan members across employers, unions, health systems, and government programs. Backed by General Catalyst.
About the role
The Director, EGWP Actuary directs the strategy, governance, and operations of the EGWP actuarial function and serves as the accountable actuarial leader for the EGWP line of business. Reporting to the VP, Actuarial & Underwriting, this role holds a high degree of independence to formulate and administer actuarial policies and programs, make decisions regarding strategic direction, operational management, and budget, and oversee Medicare Part D pricing, bids, reserving, and monthly close. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Minimum six (6) years of people leadership experience with direct reports, including leading managers or senior professionals and managing a departmental budget
- Expert level experience in developing pricing as it relates to Part D EGWP. Understanding of the nuances and strategic importance of how each decision affects the overall bid
- In-depth knowledge of CMS bid processes, risk adjustment methodologies, and regulatory requirements
- Excellent communication and influencing skills, with a track record of presenting to and advising executive leadership
- A proactive and adaptable mindset, with the ability to thrive in an evolving and entrepreneurial environment
- Associate of the Society of Actuaries or Fellow of the Society of Actuaries
More about this role
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health .
The Director, EGWP Actuary directs the strategy, governance, and operations of the EGWP actuarial function and serves as the accountable actuarial leader for the EGWP line of business. Reporting to the VP, Actuarial & Underwriting, this role holds a high degree of independence to formulate and administer actuarial policies and...
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