Senior Director, US Medical & Pharmacy
Job Summary
The Senior Director, US Medical & Pharmacy is a key leader within Global Benefits responsible for the strategy, financial stewardship, governance, and performance of Comcast’s U.S. medical and pharmacy programs. This highly visible role leads a complex health care ecosystem focused on enhancing employee wellbeing, improving access to high-quality care, and supporting long-term cost sustainability. This role requires exceptional financial acumen, deep knowledge of employer-sponsored health care, strong executive presence, and the ability to turn complex clinical, financial, and operational data into clear insights and actionable recommendations.Job Description
Responsibilities:
- Health Plan Strategy & Design
o Lead the development and execution of Comcast's U.S. medical and pharmacy strategy in alignment with business priorities.
o Evaluate plan design, network strategies, pharmacy delivery models, clinical programs, and emerging care delivery approaches to improve health outcomes, access, employee experience, and affordability.
o Understand evolving health care market landscape including emerging cost drivers, market innovation, evolving health system/provider practices, and regulatory changes that may impact plan performance or utilization patterns.
o Develop compelling business cases for new programs, benefit changes, and investments, balancing employee impact, clinical value, financial outcomes, and operational complexity.
- Executive Leadership Engagement
o Serve as a trusted advisor to HR Business Partners, Finance, Labor Relations, and other business leaders on health care strategy, performance, and emerging market dynamics.
o Lead health care strategy and performance discussions as part of ongoing governance framework (Benefits Fiduciary and Benefits Management Committees)
o Develop executive-level materials and data visualizations that enable informed decisions on health care investments and priorities.
o Build understanding of Comcast's health care strategy and its value across HR, business leaders, ERGs, and other key stakeholders.
· Financial Oversight & Analytics
o Lead the financial stewardship of Comcast's self-funded medical and pharmacy programs, providing clear visibility into performance, cost drivers, risks, and opportunities.
o Evaluate plan performance and health care investments to identify underlying claims trends, assess financial and member outcomes, and measure ROI and overall value delivered.
o Apply deep knowledge of health care financing and underwriting principles to inform underlying budget assumptions and guide financial decision-making.
o Partner with actuarial partners on annual accrual rate setting, claims forecasting, IBNP reserve setting and ongoing claims performance monitoring.
o Support multi-year health care cost forecasting activities in alignment with Comcast’s Long Range Planning process.
o Partner with Finance to monitor plan performance and reconcile actual plan payments against actuarial forecasts.
o Advance the use of predictive analytics and AI-enabled tools to monitor claims performance, identify emerging utilization, and cost patterns, detect anomalies, and anticipate financial and clinical risk.
· Health Plan Governance and Oversight
o Maintain overall governance of Comcast’s U.S. medical and pharmacy programs, holding partners accountable for financial, clinical, service, and employee experience outcomes.
o Lead strategic vendor relationships and performance discussions, partnering with Procurement and Legal on sourcing, negotiations, renewals, performance guarantees, and contracting.
o Lead resolution of complex or systemic program issues, ensuring root causes, member impact, financial implications, and corrective actions are identified and addressed.
o Partner with Legal, Compliance, and internal stakeholders to ensure ongoing plan compliance with ERISA, ACA, HIPAA, CAA, Mental Health Parity requirements, and other applicable federal and state health and welfare regulations.
o Drive continuous improvement through technology, AI, and automation to strengthen vendor oversight, controls, and operational efficiency.
· People Leadership
o Lead, coach, and develop the Senior Manager responsible for medical and pharmacy operations, analytics, and vendor management.
o Set clear priorities and empower the team with meaningful ownership and accountability for execution and drive results.
o Build a high-performing team culture grounded in curiosity, collaboration, accountability, and continuous learning.
Qualifications
- Demonstrated leadership experience across U.S. employer-sponsored medical and pharmacy programs within a large, complex organization, consulting firm, health plan, or related health care organization.
- Deep expertise in self-funded medical and pharmacy plans, including plan design, provider networks, PBM economics, clinical programs, and health plan operations.
- Exceptional financial acumen with demonstrated experience analyzing health care claims, utilization, unit cost, trend, forecasting, and underlying cost drivers.
- Strong knowledge of health care actuarial and underwriting concepts, including rate development, claims forecasting, reserves, and long-range financial planning.
- Experience leveraging advanced analytics, predictive modeling, and emerging AI capabilities to identify trends, anticipate risks, and inform decisions.
- Proven success leading complex vendor relationships, negotiations, and performance management.
- Strong executive presence with the ability to distill complex health care and financial concepts into compelling recommendations for senior leaders.
- Demonstrated ability to navigate ambiguity, solve complex problems, and move between strategic thinking and execution in a dynamic, fast-paced environment.
- Strong understanding of ERISA, ACA, Mental Health Parity, HIPAA, and the broader regulatory environment affecting employer-sponsored health plans.
- Demonstrated people leadership and a track record of developing high-performing talent.
- Bachelor's degree required; advanced degree or relevant professional credentials prefer
Employees at all levels are expected to:
- Understand our Operating Principles; make them the guidelines for how you do your job.
- Own the customer experience think and act in ways that put our customers first, give them seamless digital options at every touchpoint, and make them promoters of our products and services.
- Know your stuff be enthusiastic learners, users and advocates of our game-changing technology, products and services, especially our digital tools and experiences.
- Win as a team make big things happen by working together and being open to new ideas.
- Be an active part of the Net Promoter System a way of working that brings more employee and customer feedback into the company by joining huddles, making call backs and helping us elevate opportunities to do better for our customers.
- Drive results and growth.
- Support a culture of inclusion in how you work and lead.
- Do what's right for each other, our customers, investors and our communities.
Disclaimer: This information has been designed to indicate the general nature and level of work performed by employees in this role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications.
Comcast is an equal opportunity workplace. We will consider all qualified applicants for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, genetic information, or any other basis protected by applicable law.
Skills:
Program Management; Regulatory Compliance; Collective Bargaining; Change Management; Data Analysis; Financial Modeling; People Management
Base pay is one part of the Total Rewards that Comcast provides to compensate and recognize employees for their work. Most sales positions are eligible for a Commission under the terms of an applicable plan, while most non-sales positions are eligible for a Bonus. Additionally, Comcast provides best-in-class Benefits to eligible employees. We believe that benefits should connect you to the support you need when it matters most, and should help you care for those who matter most. That’s why we provide an array of options, expert guidance and always-on tools, that are personalized to meet the needs of your reality - to help support you physically, financially and emotionally through the big milestones and in your everyday life. Please visit the compensation and benefits summary on our careers site for more details.
Our Benefits
We’re proud to offer comprehensive benefits to help you live your best life:
- Medical, prescription, vision, and dental insurance for eligible employees.
- 401(k) savings plan with dollar-for-dollar matching up to the first 6% of your pay.
- Paid time off including eight observed company holidays and flex time.
- Exclusive perks + discounts, including tuition assistance, commuter benefits and more!
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