Actuarial Director, Pricing

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

📋 Description

• Oversee actuarial pricing and associated services

• Create premium rates for Commercial business as well as Medicare Advantage bids

• Prepare rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and required statements of opinion

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

• Collaborate with various departments to guarantee regulatory compliance and alignment with rating and underwriting policies

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

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

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

• Support the hiring process, staff development, coaching, performance evaluations, corrective measures, and terminations

• Foster cooperative relationships with Underwriting, Product Development, Sales, and Finance

• Engage in strategic and internal committees

• Assist Medicare Advantage and Commercial P&L owners with initiatives aimed at financial loss ratios

• Promote process enhancements and the application of lean methodologies

• Participate in research initiatives at PacificSource

• Adhere to privacy policies and HIPAA regulations while fulfilling other assigned tasks

⛳️ Requirements

• Minimum of six years of actuarial experience

• At least three years of management experience

• Preferred experience in the health sector

• 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 of the American Academy of Actuaries

• Proficient in actuarial methods and modeling techniques

• Capable of verifying and documenting assumptions while justifying analysis using sound logic and actuarial principles

• Commitment to adhering to Actuarial Standards of Practice

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

• Skilled in identifying problems, designing and implementing solutions, and monitoring outcomes

• Proficient in reading and understanding written and spoken English

• Strong communication skills, both clear and effective

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

🏝️ Benefits

• Work-from-home (WFH) arrangement

• Travel required approximately 5% of the time

• Equal opportunity employer

• Commitment to diversity, equity, inclusion, and social justice initiatives

• Ergonomically configured general office equipment