Actuarial Director, Pricing

This is a fully remote position, open to applicants in Georgia.

📋 Description

• Oversee all actuarial pricing and associated services.

• Ensure precision and dependability in actuarial activities along with robust analysis of risk.

• Create commercial premium rates and bids for Medicare Advantage.

• Prepare rate filings, bids, supporting documentation, actuarial certifications, memoranda, and opinions.

• Lead the development, implementation, and upkeep of commercial rating and pricing models.

• Assist with reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserves, and year-end actuarial opinion processes.

• Direct the evaluation of risk, cost, and utilization in collaboration with the Actuarial Director of Health Economics.

• Supervise and mentor actuarial students, credentialed actuaries, and non-actuarial analysts.

• Aid in recruitment, staff development, coaching, performance evaluations, corrective actions, and employee terminations.

• Stay informed about actuarial curriculum and requirements, updating the student program as necessary.

• Assist in the formulation of the departmental budget.

• Collaborate with Underwriting, Product Development, Sales, and Finance departments.

• Engage in strategic and internal committee activities.

• Support Medicare Advantage and Commercial P&L owners in operational and strategic projects.

• Lead initiatives for process improvements and advocate for lean methodologies.

• Partake in research activities at PacificSource.

• Adhere to privacy policies and comply with HIPAA confidentiality and security standards.

• Meet the performance and attendance expectations set by the department and the company.

• Perform additional duties as assigned.

⛳️ Requirements

• A minimum of six years of actuarial experience is required.

• At least three years of management experience is necessary.

• Experience in the health sector is preferred.

• A bachelor's degree in mathematics, statistics, actuarial science, or a related discipline.

• Must be enrolled as an Associate or Fellow in the Society of Actuaries.

• Active membership in good standing with the American Academy of Actuaries is required.

• Proficiency in applying actuarial methods and modeling techniques.

• Commitment to adhering to the Actuarial Standards of Practice.

• Capability to complete tasks accurately under pressure, prioritize effectively, and meet deadlines.

• Ability to identify and articulate problems, design and implement solutions, and monitor outcomes.

• Proficient in reading and comprehending both written and spoken English.

• Strong communication skills, both clear and effective.

🏝️ Benefits

• Equal opportunity employment.

• Travel required approximately 5% of the time.