
Lead Actuary
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in United States.
• Establish pricing assumptions
• Submit proposals
• File for and secure approval of premium rates and rate certifications with regulatory authorities
• Aid in the implementation of rates, new plans, and benefit modifications
• Provide guidance to Product Development regarding the cost implications of new products and benefits
• Create and sustain pricing tools for both standard and custom benefits
• Set market-level financial metrics that align with segment profitability objectives
• Evaluate market-level outcomes and forecasts
• Formulate proposed pricing strategies to address discrepancies with targeted metrics
• Investigate root causes and gather insights utilizing market-level projections and experience data tools
• Assist in actuarial certifications related to rate filings and affirm compliance with state and federal rating and benefit regulations
• Counsel executives on major functional strategies
• Utilize independent judgment and decision-making skills on intricate issues with minimal oversight
• Bachelor’s Degree
• FSA or ASA along with a relevant advanced degree, recent and pertinent work experience, and/or other applicable professional certifications
• MAAA
• Proven ability to convey ideas clearly and effectively in both written and verbal formats
• Experience across multiple functions, including modeling, pricing, rate filing, reporting & analysis, reserving, or trending
• Willingness to adapt to a work schedule aligned with Eastern Time Zone hours
• Minimum home internet speed of 25 Mbps for downloads and 10 Mbps for uploads
• A dedicated workspace free from ongoing interruptions to safeguard member PHI / HIPAA information
• Bonus incentive plan based on individual and/or company performance
• Medical, dental, and vision insurance
• 401(k) retirement savings plan
• Paid time off
• Company holidays and personal holidays
• Paid parental and caregiver leave
• Short-term and long-term disability insurance
• Life insurance coverage
• Personal wellness and support for smart healthcare decisions
• Remote work flexibility
• Occasional travel to Humana offices for training or meetings
PacificSource Health Plans
Five Acts
PacificSource Health Plans
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