Actuarial Director, Pricing

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

📋 Description

• Oversee all actuarial pricing and associated services.

• Ensure the precision and reliability of actuarial functions and thorough actuarial risk analysis.

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

• Prepare rate filings, bids, supporting documentation, actuarial certifications, memoranda, and statements of opinion.

• Supervise the development, implementation, and maintenance of Commercial rating and pricing models.

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

• Lead the analysis of risk, cost, and utilization alongside the Actuarial Director of Health Economics.

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

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

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

• Engage in strategic and internal committees.

• Support Medicare Advantage and Commercial P&L owners with financial loss ratio initiatives.

• Champion process improvement and advocate for lean methodologies.

• Participate in PacificSource research initiatives.

• Adhere to privacy policies and comply with HIPAA laws and regulations.

• Execute additional responsibilities as assigned.

⛳️ Requirements

• Minimum of six years of actuarial experience is required.

• A minimum of three years of management experience is required.

• Health 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 membership in good standing with the American Academy of Actuaries.

• Proficient in applying actuarial methods and modeling techniques.

• Capable of verifying and documenting assumptions, justifying analysis and recommendations with sound logic and actuarial principles, while adhering to Actuarial Standards of Practice.

• Able to perform tasks accurately under pressure, establish priorities, and meet deadlines.

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

• Proficient in reading and comprehending written and spoken English.

• Excellent communication skills, both clear and effective.

• Physically capable of stooping and bending, sitting and/or standing for extended periods, performing repetitive motions, and lifting and carrying files and business materials.

🏝️ Benefits

• Equal opportunity employment.

• Work in a general office environment with ergonomically designed equipment.

• Travel is required approximately 5% of the time.

• Employment status remains AT-WILL at all times.