Actuarial Director, Pricing

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

📋 Description

• Oversee all actuarial pricing functions and associated services.

• Guarantee precise and trustworthy actuarial operations along with comprehensive risk analysis.

• Formulate premium rates for the Commercial line of business and bids for Medicare Advantage.

• Create rate filings, proposals, supporting documents, actuarial certifications, memoranda, and opinion statements.

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

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

• Coordinate pricing assumptions and enterprise cost management initiatives with the Actuarial Director of Health Economics.

• Mentor and oversee actuarial students, credentialed actuaries, and non-actuarial analysts.

• Participate in hiring processes, staff development, coaching, performance evaluations, corrective measures, and employee terminations.

• Stay informed about actuarial curricula and requirements, suggesting updates to student programs.

• Aid in the development of departmental budgets.

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

• Engage in strategic and internal committee activities.

• Provide support to Medicare Advantage and Commercial P&L owners regarding operational and strategic projects.

• Enhance interdepartmental processes and advocate for lean methodologies.

• Take part in PacificSource research initiatives.

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

• Adhere to PacificSource privacy policies and HIPAA confidentiality and security protocols.

• Carry out additional tasks as assigned.

⛳️ Requirements

• Minimum of six years of actuarial experience.

• At least three years of experience in a management role.

• Experience in health-related fields is preferred.

• Bachelor’s degree in mathematics, statistics, actuarial science, or a related discipline.

• Enrolled as an Associate or Fellow in the Society of Actuaries.

• Active member in good standing with the American Academy of Actuaries.

• Familiarity with actuarial methods and modeling techniques.

• Ability to verify and document assumptions and substantiate analyses and recommendations using sound logic and actuarial principles.

• Commitment to Actuarial Standards of Practice.

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

• Proficient in identifying issues, designing and executing solutions, and monitoring outcomes.

• Competence in reading and understanding written and spoken English.

• Strong communication skills for clear and effective interaction.

• Physical ability to stoop, bend, sit or stand for prolonged periods, perform repetitive motions, and lift or carry files and business materials.

• Willingness to travel approximately 5% of the time.

🏝️ Benefits

• Commitment to equal opportunity employment.

• Flexible work-from-home options.

• Ergonomically designed equipment.

• Opportunities for staff development, coaching, and constructive performance feedback.

• Involvement in strategic and internal committee activities.

• A company culture rooted in diversity, equity, inclusion, social justice, creativity, innovation, and excellence.