Actuarial Director, Pricing

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

📋 Description

• Oversee all actuarial pricing functions and associated services

• Guarantee precise and dependable actuarial operations along with thorough analysis of risk

• Create premium rates for Commercial sectors and Medicare Advantage proposals

• Prepare rate submissions, proposals, supporting documents, actuarial certifications, reports, and statements of opinion

• Manage the development, implementation, and upkeep of rating and pricing models

• Collaborate with various departments to ensure adherence to regulatory standards and alignment with rating and underwriting policies

• Assist in reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserve, and year-end actuarial opinion activities

• Lead risk, cost, and utilization analysis in conjunction with the Actuarial Director of Health Economics

• Supervise actuarial interns, credentialed actuaries, and non-actuarial analysts

• Participate in the hiring process, staff training, mentoring, performance evaluations, corrective actions, and dismissals

• Foster collaborative relationships with Underwriting, Product Development, Sales, and Finance teams

• Engage in strategic and internal committees

• Support Medicare Advantage and Commercial P&L leaders on financial loss ratio initiatives

• Spearhead process enhancements and advocate for lean methodologies

• Take part in PacificSource research initiatives

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

• Adhere to privacy policies and HIPAA confidentiality and security protocols

• Undertake additional tasks as assigned

⛳️ Requirements

• Minimum of six years of actuarial experience

• At least three years in a management role

• Health sector experience is preferred

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

• Must be enrolled as a Fellow in the Society of Actuaries

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

• Familiarity with actuarial methodologies and modeling techniques

• Capability to verify and document assumptions and substantiate analyses through actuarial principles

• Commitment to adhering to Actuarial Standards of Practice

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

• Skill in identifying issues, creating and implementing solutions, and tracking outcomes

• Proficient in reading and understanding written and spoken English

• Strong communication skills, both written and verbal

• Capability to work in a standard office environment equipped with ergonomic furniture

• Ability to stoop, bend, sit, and/or stand for extended durations, engage in repetitive movements, and lift/carry documents and materials

• Approximately 5% travel may be required

🏝️ Benefits

• Commitment to equal opportunity employment

• Remote work arrangement as specified by location (WFH: NC)

• Opportunities for professional growth through updates to the actuarial student program and staff development

• Regular coaching, performance evaluations, and one-on-one meetings

• Involvement in strategic and internal committees

• Initiatives focused on continuous improvement and lean methodologies