Analytics and Pricing Manager

Key Responsibilities:1. Data Management and GovernanceTake ownership of health pricing and portfolio analytics data, including data collection, validation, storage, updating, reconciliation, and governance.Ensure data used for pricing, underwriting, renewal analysis, claims analytics, and management reporting is complete, accurate, reasonable, and fit for purpose.Work with IT, operations, claims, finance, underwriting, and actuarial teams to improve data quality, data availability, and reporting consistency.Maintain structured datasets for Corporate and SME health portfolios, including member-level, policy-level, claims-level, provider-level, benefit-level, segment-level, and distribution-channel-level data.Identify data gaps, inconsistencies, or process weaknesses that may affect pricing accuracy, profitability analysis, or regulatory/actuarial reporting.2. Portfolio Analytics and Profitability ReportingPerform regular portfolio analysis for the Corporate and SME health portfolios, including profitability by client, policy, member segment, sector, geography, benefit structure, provider network, broker/channel, and other relevant classifications.Produce loss ratio, combined ratio, claims trend, frequency, severity, utilization, medical inflation, and claims development analysis.Develop regular management reports and dashboards to support decision-making across underwriting, pricing, claims, network, cost control, distribution, and senior management.Analyze provider behavior through claims data, including high-cost providers, abnormal utilization patterns, tariff impact, benefit abuse indicators, and cost escalation drivers.Identify current and emerging portfolio risks and recommend practical mitigation actions.Support management in understanding the source of profit or loss and the corrective actions required at portfolio, segment, client, or product level.3. Pricing Model Development and ImprovementSupport the development, enhancement, and maintenance of pricing models for Corporate and SME health business.Improve pricing methodologies for new business, renewals, SME pricing models, experience-rated business, and portfolio pricing assumptions.Review and update base rates, gross rates, loadings, discounts, margins, medical inflation assumptions, expense assumptions, and risk adjustment factors.Support periodic pricing revisions based on portfolio performance, claims experience, provider cost trends, benefit utilization, regulatory changes, and market developments.Ensure pricing tools are structured, controlled, documented, tested, and suitable for use by underwriting and pricing teams4. Underwriting and Renewal Pricing SupportProvide actuarial and analytical support to the underwriting team for Corporate and SME new business and renewals.Support renewal pricing through experience analysis, claims projection, burning-cost analysis, trend loading, benefit adjustment, risk margin assessment, and profitability review.Recommend pricing actions for poorly performing clients, segments, sectors, channels, or product variants.Help improve underwriting practices by introducing consistent pricing procedures, pricing templates, technical guidelines, and risk assessment approaches.Support underwriting decisions with clear analytical outputs, including expected loss ratio, technical price, current price adequacy, proposed renewal action, and profitability outlook.Work with underwriting to ensure pricing recommendations are commercially practical but technically disciplined.5. Claims, Provider and Cost-Control AnalyticsAnalyze claims experience to identify key drivers of medical cost, including provider behavior, benefit utilization, chronic conditions, high-cost cases, outpatient trends, emergency room usage, pharmacy trends, diagnostics, maternity, dental, optical, and other major cost categories.Support claims, network, fraud/waste/abuse, and cost-control teams with actionable analytics.Identify unusual claims patterns, outlier providers, abnormal utilization, possible leakage, and areas requiring medical management intervention.Support the development of analytics for provider negotiation, network tiering, tariff review, discount evaluation, and provider performance management.Quantify the financial impact of cost-containment initiatives and monitor whether agreed actions are producing measurable improvement.6. Dashboarding, Reporting and Management InformationBuild and maintain dashboards for portfolio performance, pricing adequacy, renewal performance, claims trends, provider performance, channel profitability, SME performance, and management KPIs.Translate complex actuarial and analytical findings into clear business messages for senior management and non-technical stakeholders.Ensure reports are timely, accurate, repeatable, and aligned with business decision cycles.Develop early-warning indicators for deteriorating segments, adverse claims trends, pricing inadequacy, high-risk clients, and unprofitable distribution channels.Support monthly, quarterly, and annual business performance reviews.7. Product, Benefit and Profitability InitiativesSupport product design and product enhancement through data-driven analysis of benefits, pricing, utilization, market competitiveness, and profitability.Recommend changes to product features, benefit limits, deductibles, co-payments, network design, underwriting rules, and pricing factors to improve profitability and sustainability.Support SME product pricing, package pricing, aggregator pricing, and segment-specific pricing strategies.Evaluate profitability initiatives and quantify expected and actual financial impact.Support business growth while maintaining underwriting discipline and technical pricing adequacy.8. Cross-Functional Actuarial and Business SupportWork closely with the Appointed Actuary and internal actuarial function to provide accurate data, analysis, assumptions, and explanations required for actuarial deliverables.Support actuarial reviews related to health portfolio performance, pricing adequacy, reserve-related analysis, claims development, and business planning.Collaborate with finance on expense allocation, combined ratio analysis, profitability reporting, and financial planning.Collaborate with distribution and sales teams to monitor channel performance, pricing behavior, discount discipline, and profitability by source of business.Contribute to the medium- to long-term health business strategy by providing reliable technical analysis and business insights.9. Process Improvement and Tool DevelopmentImprove internal pricing, underwriting, reporting, and portfolio monitoring processes based on analysis outcomes.Support automation of recurring pricing and analytics tasks to reduce manual work and improve reliability.Work with actuarial, underwriting, IT, and data teams to develop and implement pricing tools, portfolio dashboards, renewal trackers, and profitability monitoring tools.Ensure pricing methodologies reflect current market practice, internal experience, regulatory requirements, and business strategy.Document pricing assumptions, methodologies, model logic, data sources, and governance controls.10. Team DevelopmentInitially operate as a hands-on technical manager responsible for personally delivering key pricing and analytics outputs.Over time, support the recruitment, training, and development of junior analysts or pricing resources as the health analytics and pricing function expands.Build technical capability within the team in actuarial pricing, health claims analytics, SQL/Python/R, dashboarding, and business interpretation.Establish working standards for analysis quality, documentation, model control, and stakeholder communication.Education:Bachelor’s degree in Actuarial Science, Statistics, Mathematics, Data Science, Finance, Economics, Engineering, or a related quantitative discipline.Actuarial qualification in progress is preferred, such as SOA, IFoA, or equivalent actuarial exams.Fully qualified actuary status is an advantage but not mandatory.Strong actuarial pricing experience may be accepted in place of formal actuarial qualification, especially if gained in health insuranceExperience:Minimum 6 years of relevant experience in health insurance pricing, actuarial analytics, portfolio analytics, underwriting analytics, or claims analytics.Experience in Corporate and/or SME health insurance pricing is strongly preferred.Prior experience in the Saudi or GCC health insurance market is highly desirable.Strong understanding of health insurance claims behavior, medical inflation, utilization trends, provider cost drivers, network impact, benefit design, and renewal pricing.Experience developing pricing models, dashboards, and management reports.Personal Attributes / Skills:Strong stakeholder-management skills across underwriting, actuarial, claims, network, finance, IT, and sales.Comfortable working with incomplete data while clearly stating assumptions, limitations, and risks.Proactive in identifying issues, recommending actions, and following through on implementation.Others:Advanced Microsoft Excel, including complex formulas, pivot tables, Power Query, VBA, and model-building capability.Strong SQL skills for data extraction, validation, reconciliation, and analysis.Working knowledge of Python or R for statistical analysis, pricing models, automation, and large-data handling.Experience with Power BI, Tableau, or similar dashboarding tools.Understanding of actuarial and statistical pricing methods, including GLM, regression, credibility, trend analysis, frequency/severity analysis, claims development, and scenario testing.