Vice President, Pricing

Summary

Join Gravie as their Vice President of Pricing, a senior leadership role overseeing pricing strategy, actuarial modeling, and underwriting support for level-funded products. Collaborate closely with Data Science and Underwriting teams to develop competitive and sustainable products. This central role impacts product development, risk management, and financial performance. You will be instrumental in developing innovative pricing models and ensuring compliance with regulations. The position offers the chance to contribute to cutting-edge risk modeling and pricing strategies within a dynamic environment. This role requires a Fellow of the Society of Actuaries (FSA) or minimum ASA, along with extensive experience in employer-sponsored health plans and self-funded medical pricing.

Requirements

• Fellow of the Society of Actuaries (FSA) strongly preferred; minimum ASA required
• Member of American Academy of Actuaries (MAAA) required
• 12+ years of progressive actuarial experience, with deep expertise in employer-sponsored health plans, self-funded medical pricing, and stop-loss insurance
• Demonstrated experience collaborating directly with underwriting teams to develop pricing strategies and custom risk solutions
• Strong technical background in actuarial modeling, healthcare trend analysis, and financial forecasting
• Exceptional communication and interpersonal skills with the ability to influence across technical and non-technical audiences
• Proficiency with actuarial software and data analysis tools (e.g., Excel, SQL, SAS, and/or Python)

Responsibilities

• Develop, maintain, and review pricing, projection, and underwriting models for Gravie’s level-funded health products
• Drive the development of innovative pricing algorithms incorporating the latest predictive modeling techniques, with oversight of the Data Science team, and responsibility for operationalizing new methods at scale
• Partner closely with the Underwriting team to ensure alignment of pricing strategy, rating assumptions, risk assessment methodologies, and quoting tools
• Provide actuarial guidance on complex underwriting cases and custom client solutions
• Incorporate emerging experience, medical/pharmacy cost trends, provider network and contracting strategies (including value-based reimbursement) into pricing and underwriting models
• Lead the development of actuarial assumptions used for pricing, underwriting, trend projection, and financial risk assessments
• Serve as a key liaison between actuarial, underwriting, product strategy, sales, and finance teams to ensure cohesive and aligned execution of pricing and risk strategies
• Support the design and evaluation of innovative new products and funding arrangements that are competitive, compliant, and actuarially sound
• Provide actuarial and financial insights to inform provider contracting strategies and value-based arrangements
• Partner with Gravie’s healthcare economics team to review analyses of utilization, unit cost drivers, claim trends, and other healthcare expense metrics, in collaboration with underwriting and clinical strategy teams
• Lead the development and review of cost/savings analyses for plan design changes and healthcare delivery model innovations
• Implement and manage robust peer-review processes to ensure accuracy and quality across all actuarial work products, including those supporting underwriting
• Monitor actuarial model performance and recommend improvements as needed to maintain pricing integrity and competitive positioning
• Ensure compliance with all applicable regulatory requirements and professional actuarial standards

Preferred Qualifications

• Experience with change management, transformation and start-up strongly preferred
• Experience in reinsurance or alternative funding arrangements
• Successful track record in new product development for employer health markets
• An advanced degree (MBA, MHA, MPH) is a plus

Benefits

• Standard health and wellness benefits
• Alternative medicine coverage
• Flexible PTO
• Up to 16 weeks paid parental leave
• Paid holidays
• A 401k program
• Cell phone reimbursement
• Transportation perks
• Education reimbursement
• 1 week of paid paw-ternity leave
• Annual bonus program
• Stock options