Actuarial Director, Pricing

🕒 October 17

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $127.3k - $216.5k / year

⏰ Full Time

🔴 Lead

📊 Actuary

👻 Ghost score 20%

What it means: the chance that no one is really hiring for this job.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 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 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

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