VP, Chief Actuary

Job not on LinkedIn

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $156.1k - $375.5k / year

⏰ Full Time

🔴 Lead

📊 Actuary

👻 Ghost score 20%

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

• Lead enterprise actuarial strategy and advise executive leadership and the Board on pricing, financial risk, market trends, capital requirements, growth opportunities, and long-term financial performance • Direct actuarial functions across pricing, forecasting, reserving, trend analysis, risk modeling, underwriting support, financial performance evaluation, and scenario modeling • Ensure sound premium development, IBNR reserves, Statements of Actuarial Opinion, regulatory certifications, and compliance with actuarial standards • Monitor healthcare utilization, cost trends, and emerging risks and recommend mitigation strategies • Lead actuarial support for Enterprise Risk Management, Own Risk and Solvency Assessment, and other risk activities • Ensure compliance with state and federal regulations, accreditation requirements, and actuarial standards • Lead actuarial evaluation, pricing, and financial impact analysis for products, benefit designs, regulatory changes, market opportunities, and healthcare delivery models • Partner with Product Development, Sales, Marketing, Government Programs, and other leaders on competitive positioning and strategic growth • Support value-based reimbursement arrangements, risk-sharing agreements, provider incentive programs, and alternative payment models • Analyze provider performance, quality outcomes, cost trends, and clinical program effectiveness • Oversee actuarial analytics, predictive modeling, business intelligence, and data-driven insights • Collaborate with data and technology teams on analytical capabilities, modernization, and executive reporting • Provide leadership, coaching, and professional development for actuarial and underwriting staff • Manage culture, departmental operating and capital budgets, expense forecasting, variance analysis, and resource allocation • Partner with Accounting and oversee FP&A for financial planning, budgeting, forecasting, reporting, and cost-benefit analysis • Participate in strategic and internal committees • Meet department and company performance and attendance expectations • Follow privacy policy and HIPAA requirements for protected health information • Perform other duties as assigned

🎯 Requirements

• At least 10 years of progressive actuarial leadership experience within healthcare, health insurance, managed care, or related industries • At least 4 years in a leadership role • Experience with Medicare Advantage, Medicaid, ACA Marketplace, and risk adjustment programs • Experience supporting value-based care and alternative payment models • Experience managing multiple actuarial disciplines and business functions • Baccalaureate degree in business, mathematics or a related field • Active member in good standing of American Academy of Actuaries • Fellow of the Society of Actuaries (FSA) • Thorough knowledge of generally accepted actuarial principles • Knowledge and responsibility for performing actuarial projections, ratings, and recommendations • Ability to justify analysis and recommendations with sound logic and actuarial principles • Ability to work inside in a general office setting with ergonomically configured equipment • Ability to stoop and bend, sit and/or stand for extended periods, and perform repetitive typing, sorting, and filing • Ability to lightly lift and carry files and business materials • Ability to read and comprehend written and spoken English • Ability to communicate clearly and effectively

🏖️ Benefits

• Equal opportunity employment • Travel approximately 5% of the time