Commercial Pricing Actuary

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $175k - $250k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📊 Actuary

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Direct strategy, modeling, and financial execution for Commercial lines of business, including Group and Self-Funded/ASO • Build, refine, and maintain scalable actuarial rating models and pricing engines for Commercial Large Group lines • Partner with product, clinical, and market leadership to price competitive benefit packages • Establish, defend, and document pricing assumptions, including manual rates, age/gender factors, area factors, trend projections, administrative expense allocations, and margin targets • Contribute to underwriting policy and risk selection strategies for group business • Provide actuarial oversight on complex quote requests, experience rating formulas, and credibility logic • Design and maintain pricing methodologies for ASO products, employer-specific fee structures, and stop-loss/reinsurance coverage options • Monitor group risk profiles, employer group renewal performance, and adverse selection dynamics • Direct preparation, documentation, and filing of annual and quarterly Commercial rate filings across multiple state departments of insurance and regulatory bodies • Serve as primary actuarial interface with state regulators during rate reviews • Respond to regulatory objections, actuarial inquiries, and public comments to secure rate approvals • Oversee ACA pricing mechanics, including HHS-HCC risk adjustment, MLR rebate calculations, state rate cap mandates, and the No Surprises Act • Collaborate with Finance, Healthcare Economics, Sales/Distribution, Network Management, and Clinical Operations • Prepare executive-level presentations on rate filing strategies, portfolio rate impacts, and margin projections

🎯 Requirements

• 8+ years of progressive healthcare actuarial experience • At least 5+ years of direct focus on Commercial actuarial pricing, rating model development, and regulatory rate filings • Experience building rating engines from scratch or significantly upgrading pricing tools • Proficiency in actuarial modeling and data manipulation, including SQL, Python, R, or SAS • Direct experience managing the full lifecycle of Commercial rate filings through SERFF • Experience navigating state regulatory rate reviews and securing approvals on schedule • Hands-on experience partnering with or establishing guidelines for underwriting teams • Experience rating logic and portfolio performance tracking • Demonstrated ability to complete complex, time-sensitive filings and pricing projects on schedule • Exceptional interpersonal and cross-functional collaboration skills • Ability to translate complex actuarial concepts into clear strategic choices for non-actuarial partners • Actuarial designations are valued but optional: ASA or FSA and MAAA • Experience interfacing with reserving, value-based contracting, or medical economics functions • Comfort operating in a fast-paced, high-growth environment • Formal degrees or certifications are not required; equivalent practical mastery and demonstrated track record are recognized

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above • Commission eligibility for Sales roles • Parental leave program • 401K program