Director, Actuary; Medical Stop Loss Pricing

Director, Actuary (Medical Stop Loss Pricing)

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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 collaborates 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.

It reports to the Vice President of Finance and Actuarial for our growth products:
Supplemental Health and Medical Stop Loss.

Hybrid or virtual, with occasional on‑site presence as required based on business needs and location.

• 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 in sourcing of actuarial functions.
• Opportunity to expand into other products within Prudential Group Insurance, including Life, Disability, and Supplemental Health.

• 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 is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $ to $. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.

• Market competitive base salaries, with a yearly bonus potential at every level.
• Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave.
• 401(k) plan with company match (up to 4%).
• Company‑funded pension plan.
• Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs.
• Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.
• Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs.
• Employee Stock Purchase Plan:
  Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.

Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law.

If you need an accommodation to complete the application process, please email acc