Manage actuarial functions for product lines, ensuring compliance with regulations, evaluating profitability, and providing guidance on pricing and modeling methodologies while leading a team and presenting findings to management.

• Develop and prepare actuarial analyses related to rates and rating plans for assigned lines of insurance • Evaluate pricing adequacy and prepare recommendations regarding rate and rating plan changes • Support the preparation of regulatory filings, exhibits, and actuarial documentation • Assist with follow-up activities related to regulatory reviews, challenges, or approval processes • Perform IBNR (Incurred But Not Reported) reserve calculations and other reserving analyses • Conduct quantitative modeling and statistical analysis to support business and actuarial decision-making • Analyze operational and financial trends to identify risks, opportunities, and performance insights • Partner with cross-functional teams to support actuarial projects and business initiatives • Prepare reports, summaries, and presentations for internal stakeholders and leadership • Contribute to process improvements and analytical efficiencies within the actuarial function • Support special actuarial projects and ad hoc analyses as needed • Assist in mentoring and supporting junior actuarial team members when applicable

• Perform most complex analyses for the full range of actuarial activities related to Reinsurance pricing and analysis • Build complex models and projections to help the business to create sound pricing and appropriate risk-adjusted returns on capital • Build forecasts and models for reinsurance • Be a subject matter expert and consultant to partners throughout the organization • Present recommendations regarding the development or effectiveness of multiple strategies • Develop relationships with important partners and provide insights and solutions to address specific business concerns • Explore new concepts, statistical models, and data sources to provide solutions for the business • May contribute to all aspects of pricing, lead the recurring process, facilitate the pricing strategy, and help develop pricing for new products and rating structures • Monitor industry and competitor trends to determine potential impact to actuarial strategies and solutions • Analyze the profitability of assumed property & casualty treaty reinsurance opportunities • Maintain a portfolio analytics framework, ensuring consistent analytical standards for evaluating assumed reinsurance opportunities • Create a collaborative, performance-driven work environment by promoting trust, transparency, and inclusion • Collaborate with Underwriting and the rest of the Pricing & Analytics team to help with submissions and potential deals

Role Description The Director, Actuarial – Government Programs will lead actuarial pricing, financial performance insights, and strategic analytics across SHP’s Medicare and Medicaid lines of business. This role is critical to ensuring market-competitive, compliant, and financially sustainable products while translating actuarial insights into actionable business decisions. This leader will operate in a highly matrixed environment, partnering closely with Finance, Product, Network, Risk Adjustment, and Clinical teams to drive enterprise value and support SHP’s growth strategy. Core Responsibilities - Government Programs Pricing & Financial Management - Lead end-to-end pricing for Medicare Advantage, Medicaid, and related government programs - Develop and maintain actuarial assumptions, methodologies, and pricing models - Ensure rate adequacy, competitiveness, and alignment with enterprise financial targets - Oversee bid development, rate filings, and regulatory submissions - Forecasting & Performance Insights - Translate pricing assumptions into forward-looking financial projections and scenarios - Monitor emerging experience vs. pricing assumptions and identify key drivers of variance - Provide actionable insights to improve margin, membership growth, and cost management - Regulatory & Compliance Leadership - Ensure compliance with CMS, state Medicaid agencies, and insurance department requirements - Support actuarial certifications, rate filings, and audit readiness - Interface with regulators and external actuarial partners as needed - Strategic Partnership & Cross-Functional Leadership - Partner with Product, Network/Provider Contracting, and Clinical teams on: - Benefit design and product strategy - Value-based care and provider reimbursement models - Cost of care and utilization management strategies - Align actuarial assumptions with operational and market realities across the enterprise - Team Leadership & Talent Development - Lead and develop a high-performing team of actuaries and analysts - Establish clear priorities, governance, and quality standards for actuarial work products - Foster a culture of innovation, continuous improvement, and accountability - Enterprise Contribution & Thought Leadership - Contribute to enterprise planning, budgeting, and long-term strategy - Present insights and recommendations to senior leadership in a clear, actionable manner - Identify opportunities for automation, analytics advancement, and process optimization Qualifications - Bachelor's Degree Required - 5 years Management experience - 7 years Actuarial experience Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met