Actuarial Director, Pricing

🔥 18 hours ago

🍑 Georgia – Remote

🍑 Georgia – Remote

💵 $127.3k - $216.5k / year

⏰ Full Time

🔴 Lead

📊 Actuary

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PacificSource Health Plans

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

PacificSource Health Plans is a healthcare provider that offers a range of health insurance solutions, including plans for individuals, families, and employers. Their offerings include Medicare and Medicaid plans, dental coverage, and administrative services for small and large groups. Committed to member care, PacificSource emphasizes customer service and provides various resources for health management, including mental health support and wellness programs.

📋 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 rating and pricing models • Support reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserve, and year-end actuarial opinion processes • Coordinate pricing assumptions and enterprise cost management activities 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 awareness of actuarial curriculum and requirements and propose student program updates • Assist with department budget development • Collaborate with Underwriting, Product Development, Sales, and Finance • Participate in strategic and internal committees • Support Medicare Advantage and Commercial P&L owners on operational and strategic initiatives • Improve interdepartmental processes and promote lean methodologies • Participate in PacificSource research activities • Meet department and company performance and attendance expectations • Follow PacificSource privacy policy and HIPAA confidentiality and security requirements • Perform other duties as assigned

🎯 Requirements

• At least six years of actuarial experience • Three years of management experience • Health experience preferred • Baccalaureate degree in mathematics, statistics, actuarial science, or a related field • Enrolled as an Associate or Fellow in the Society of Actuaries • Active member in good standing of the American Academy of Actuaries • Knowledge of actuarial methods and modeling techniques • Ability to verify and document assumptions and justify analyses and recommendations using sound logic and actuarial principles • Adherence to Actuarial Standards of Practice • Ability to accomplish tasks accurately under pressure, determine priorities, and meet deadlines • Ability to identify problems, design and implement solutions, and monitor results • Ability to read and comprehend 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/carry files and business materials • Travel approximately 5% of the time

🏖️ Benefits

• Equal opportunity employment • Work-from-home arrangement • Ergonomically configured equipment • Opportunities for staff development, coaching, and performance feedback • Participation in strategic and internal committees • Company values-driven work environment focused on diversity, equity, inclusion, social justice, creativity, innovation, and excellence

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