Description

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 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 Distribution and Underwriting to identify, manage, and capitalize on viable growth opportunities.

How you will contribute:

• 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
• Evaluate impact of external vendors on catastrophic claims and develop strategies to reflect impact in stop-loss pricing
• 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
• Partner with Underwriting, Distribution, and Product Management to identify, support, and grow profitable relationships or fix unprofitable relationships
• Act as a subject matter expert related to network offerings, vendor capabilities, and their associated values to both internal and external partners, including serving as relationship manager on key partnerships
• Proactively identify opportunities to share information with business partners through formal training sessions, internal documentation, etc.
• Provide leadership and direction to Healthcare Economics team, develop and monitor performance of others

Requirements

What you will bring with you:

• Ability to work with a diverse range of people
• FSA or ASA with 7+ years of proven healthcare actuarial experience, stop-loss experience a plus
• Superior analytical, technical, and communication skills
• Ability to deal with imperfect data, and identify supplemental data sources
• Strong capability to deal with ambiguity
• Ability to work across different functional areas
• Prior experience with medical networks or provider contracting a plus
• Prior management experience preferred    

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.

Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!

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, collaborative and inclusive culture
• Great Place to Work® Certified in Canada and the U.S.
• Named as a “Top 10” employer by the Boston Globe's “Top Places to Work” two years running

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

If you are a California resident, the salary range for this position is:

• Southern region: $157,600-236,500 annually  
• Central region: $166,200-$249,400 annually  
• Northern region: $177,700-$266,600 annually  

If you are a Colorado resident, the salary range for this position is $150,500-$225,800 annually.

If you are a New York resident, the salary range for this position is $177,700-$266,600 annually.

If you are Washington resident, the salary range for this position is $166,200-$249,400 annually.

We consider various factors in determining actual pay including your skills, qualifications, and experience.  In addition to salary, this position is eligible for incentive awards based on individual and business performance as well as a broad range of competitive benefits.

Sun Life Financial is a leading provider of group insurance benefits in the U.S., helping people protect what they love about their lives. More than just a name, Sun Life symbolizes our brand promise of making life brighter -for our customers, partners, and communities. Join our talented, diverse workforce and launch a rewarding career. Visit us at www.sunlife.com/us to learn more.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.