Actuarial Pricing Manager

1 week ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.A nationally recognized health insurer is seeking a Network Pricing Consultant to lead strategic pricing initiatives and support provider network development within its Dental division. This role is ideal for a data-driven professional with strong leadership skills and a passion for optimizing healthcare access and affordability.This is a hybrid position - 3x a week in-office, 2x WFH (Boston, MA or New York, NY)Key ResponsibilitiesLead a team of analysts in evaluating and optimizing PPO and DHMO provider compensation.Oversee changes to fee schedules and assess financial impacts on dental rates.Manage rental access fee payments and relationships with network partners.Develop and maintain analytical tools to support pricing, retention, and recruitment strategies.Collaborate with cross-functional teams to identify cost-saving opportunities and enhance network performance.Support RFP responses and sales initiatives with data-driven insights.Build and maintain strong relationships with internal stakeholders and external providers.QualificationsBachelor's degree in Math, Statistics, Actuarial Science, or a related field.6+ years of experience in actuarial or data analytics, preferably in healthcare or insurance.Proficiency in Excel and/or VBA; experience with Tableau and Alteryx is a plus.Experience with provider fee analysis (PPO and HMO) is preferred.ASA designation is preferred.Proven ability to lead multiple projects and manage direct reports.Strong analytical, communication, and project management skills.Seniority levelSeniority levelMid-Senior levelEmployment typeEmployment typeFull-timeJob functionJob functionConsultingIndustriesClaims Adjusting, Actuarial ServicesReferrals increase your chances of interviewing at Selby Jennings by 2xSign in to set job alerts for “Actuary” roles.Boston, MA $208,200.00-$327,140.00 2 weeks agoBoston, MA $208,200.00-$327,140.00 2 weeks agoBusiness Analyst with SWIFT MT and SWIFT MX files for Cash TransactionsBusiness Analyst (Former Athletes and Veterans)Boston, MA $60,000.00-$110,000.00 3 weeks agoNorth Andover, MA $60,000.00-$80,000.00 1 week agoBusiness Analyst with SWIFT MT and SWIFT MX files for Cash TransactionsBoston, MA $62,000.00-$85,000.00 1 hour agoScientific Business Analyst- Boston or Bay AreaScientific Business Analyst- Boston or Bay AreaQuincy, MA $41,600.00-$66,560.00 1 week agoScientific Business Analyst, Scientific AI- BostonMiddle Office Product Business Analyst, AVPBurlington, MA $90,000.00-$142,500.00 2 weeks agoWe’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr

Created: 2025-09-17