Bethlehem PA

Boston MA

Holmdel NJ

Hudson Yards NY

Stamford CT

Senior Actuary

Health

Modelling

Pricing

Excel

Tableau

Alteryx

Description

Job Summary:
Is the opportunity to join a culture where “We Do the Right Thing,” and “We Courageously Shape Our Future Together” important to you? If so, Guardian is seeking a resolute motivated individual to join our team as a Dental Network Pricing Consultant.

This role will be responsible for leading a team of analysts evaluating and optimizing PPO and DHMO provider compensation as well as providing thought leadership in the Dental network development strategy. This role involves developing and implementing analytical strategies, overseeing data analysis projects, building tools, and providing actionable insights to enhance network efficiency and member satisfaction. This position supports the strategic objective of increasing customer access to providers while maintaining a competitive effective network discount.

Qualifications:
<ul>
 <li>Bachelor’s Degree in Math, Statistics, Actuarial Science, or related field.</li>
 <li>Minimum 6 years’ work experience in data and analytics.</li>
 <li>Proficiency in Excel and/or VBA. Other programming knowledge is a plus.</li>
 <li>Ability to manage and lead multiple projects and manage 2 or more direct reports.</li>
 <li>Strong analytical and communication skills.</li>
 <li>Experience using Tableau and Alteryx software preferred.</li>
 <li>Experience with provider fee analysis (PPO and HMO) preferred.</li>
</ul>

Responsibilities:
<ul>
 <li>Supervise changes to PPO Fee Schedule, DSO and DHMO provider compensation by market — increases, discounts, and impact on dental rates. Share pricing adjustments due to fee schedule changes.</li>
 <li>Manage rental access fee payments to our rental and swap partners.</li>
 <li>Develop, maintain, and enhance tools used by pricing and network teams to assist with retention and recruitment.</li>
 <li>Develop, maintain, and enhance tools used by pricing for evaluating the financial impact of changes to our directly contracted and rental networks.</li>
 <li>Collaborate with cross-functional teams to identify opportunities for network improvement and cost reduction.</li>
 <li>Support initiatives to improve discount, utilization, and effective discount.</li>
 <li>Supervise responses to ad hoc network requests for RFPs and requests for Sales.</li>
 <li>Build and maintain strong relationships with internal and external stakeholders, including dental providers and network partners.</li>
</ul>

Location:
Hybrid role — 3 days in office located in Bethlehem, PA; Boston, MA; or Hudson Yards, NYC. 2 days WFH

Salary Range:
$96,960.00 - $159,300.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

Our Promise:
At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being:
As part of Guardian’s Purpose — to inspire well-being — we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at <a href="https://www.guardianlife.com/careers/corporate/benefits">www.guardianlife.com/careers/corporate/benefits</a>. Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity:
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Accommodations:
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact <a href="mailto:applicant_accommodation@glic.com">applicant_accommodation@glic.com</a>.

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.

About Guardian:
Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being — mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a Guardian™. Learn more about Guardian at <a href="https://www.guardianlife.com">guardianlife.com</a>.

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