Actuarial Director, Pricing

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🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $127.3k - $216.5k / year

⏰ Full Time

🔴 Lead

📊 Actuary

👻 Ghost score 13%

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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PACIFICSOURCE

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1933

Not-for-profit health plans

📋 Description

• Direct all actuarial pricing and related services • Ensure accurate and reliable actuarial activities and sound actuarial analysis of risk • Develop premium rates for the Commercial line of business and Medicare Advantage Bids • Prepare rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and statements of opinion • Direct development, implementation, and maintenance of Commercial rating and pricing models • Support reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserve, and year-end actuarial opinion processes • Direct analysis of risk, cost, and utilization with the Actuarial Director of Health Economics • Lead and supervise actuarial students, credentialed actuaries, and non-actuarial analysts • Assist with hiring, staff development, coaching, performance reviews, corrective actions, and employee termination • Maintain collaborative partnerships with Underwriting, Product Development, Sales, and Finance • Participate in strategic and internal committees • Support Medicare Advantage and Commercial P&L owners on financial loss ratio initiatives • Lead process improvement and promote lean methodologies • Participate in PacificSource research activities • Follow privacy policy and HIPAA laws and regulations • Perform other duties as assigned

🎯 Requirements

• At least six years actuarial experience required • Three years management experience required • Health experience preferred • Baccalaureate degree in mathematics, statistics, actuarial science, or a related field • Enrolled as Fellow in Society of Actuaries • Active member in good standing of American Academy of Actuaries • Ability to apply actuarial methods and modeling techniques • Ability to verify and document assumptions, justify analysis and recommendations with sound logic and actuarial principles, and adhere to Actuarial Standards of Practice • Ability to accomplish tasks accurately under pressure, determine priorities, and meet deadlines • Ability to identify and define problems, design and implement solutions, and monitor results • Ability to read and comprehend both written and spoken English • Ability to communicate clearly and effectively • Ability to stoop and bend, sit and/or stand for extended periods, perform repetitive motions, and lift and carry files and business materials

🏖️ Benefits

• Equal opportunity employment • Work inside a general office setting with ergonomically configured equipment • Travel required approximately 5% of the time • Employment remains AT-WILL at all times