Actuarial Director, Pricing

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🔥 2 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $127.3k - $216.5k / year

⏰ Full Time

🔴 Lead

📊 Actuary

👻 Ghost score 13%

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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 • Coordinate with departments to ensure regulatory compliance and consistency with rating and underwriting policies • Support reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserve, and year-end actuarial opinion activities • 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 terminations • 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 • Meet department and company performance and attendance expectations • Follow privacy policy and HIPAA confidentiality and security requirements • Perform other duties as assigned

🎯 Requirements

• At least six years of actuarial experience • At least three years of management experience • 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 • Knowledge of actuarial methods and modeling techniques • Ability to verify and document assumptions and justify analyses using actuarial principles • Adherence to Actuarial Standards of Practice • Ability to identify problems, design and implement solutions, and monitor results • Ability to accomplish tasks accurately under pressure, prioritize, and meet deadlines • Ability to read and comprehend written and spoken English • Ability to communicate clearly and effectively • Ability to work in a general office setting with ergonomically configured equipment • Ability to stoop, bend, sit and/or stand for extended periods, perform repetitive motions, and lift and carry files and business materials • Travel required approximately 5% of the time

🏖️ Benefits

• Equal opportunity employment • Work-from-home arrangement indicated by location field (WFH: VA) • Professional development through actuarial student program updates and staff development • Coaching, performance reviews, and regular one-on-ones • Participation in strategic and internal committees • Continuous improvement and lean methodology initiatives