Actuarial Director, Pricing

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

📋 Description

• Oversee all actuarial pricing and associated services.

• Ensure that actuarial activities are precise and dependable, along with sound risk analysis.

• Develop premium rates for the Commercial sector and Medicare Advantage proposals.

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

• Guide the creation, execution, and upkeep of Commercial rating and pricing models.

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

• Support activities related to reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserve, and year-end actuarial opinion.

• Direct the analysis of risk, costs, and utilization alongside the Actuarial Director of Health Economics.

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

• Assist in recruitment, staff development, coaching, performance evaluations, corrective measures, and employee separations.

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

• Engage in strategic and internal committee activities.

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

• Spearhead process improvements and advocate for lean methodologies.

• Participate in research activities for PacificSource.

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

• Adhere to privacy policies and HIPAA confidentiality and security regulations.

• Execute additional tasks as assigned.

⛳️ Requirements

• A minimum of six years of actuarial experience.

• At least three years of managerial experience.

• Health-related 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 of the American Academy of Actuaries.

• Proficient in actuarial methods and modeling techniques.

• Capable of verifying and documenting assumptions and justifying analyses based on actuarial principles.

• Compliance with Actuarial Standards of Practice.

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

• Competency in completing tasks accurately under pressure, prioritizing effectively, and meeting deadlines.

• Proficient in reading and understanding written and spoken English.

• Effective communication skills, both written and verbal.

• Capacity to work in a standard office environment with ergonomically designed equipment.

• Ability to stoop, bend, sit, and/or stand for prolonged periods, perform repetitive motions, and lift and transport files and business materials.

• Travel is required approximately 5% of the time.

🏝️ Benefits

• Commitment to equal opportunity employment.

• Work-from-home arrangement as specified by location (WFH: VA).

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

• Coaching, performance evaluations, and regular one-on-one meetings.

• Involvement in strategic and internal committee activities.

• Continuous improvement initiatives and advocacy for lean methodologies.