Actuarial Director, Pricing
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Job Description
Actuarial Director leading Commercial pricing and Medicare Advantage bids at PacificSource, a health insurer. Managing actuarial teams, models, filings, risk analysis, and financial planning.
Responsibilities:
- Direct all actuarial pricing and related services
- Ensure accurate and reliable actuarial activities and sound actuarial analysis of risk
- Develop premium rates for Commercial business and Medicare Advantage bids
- Prepare rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and statements of opinion
- Direct development, implementation, and maintenance of rating and pricing models
- Coordinate with departments to ensure regulatory compliance and consistency with rating and underwriting policies
- Support reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserve, and year-end actuarial opinion processes
- Direct analysis of risk, cost, and utilization with the Actuarial Director of Health Economics
- Lead and supervise actuarial students, credentialed actuaries, and non-actuarial analysts
- Assist with hiring, staff development, coaching, performance reviews, corrective actions, and terminations
- Maintain collaborative partnerships with Underwriting, Product Development, Sales, and Finance
- Participate in strategic and internal committees
- Support Medicare Advantage and Commercial P&L owners on financial loss ratio initiatives
- Lead process improvement and promote lean methodologies
- Participate in PacificSource research activities
- Meet department and company performance and attendance expectations
- Follow privacy policy and HIPAA confidentiality and security requirements
- Perform other duties as assigned
Requirements:
- At least six years of actuarial experience
- At least three years of management experience
- Health experience preferred
- Baccalaureate degree in mathematics, statistics, actuarial science, or a related field
- Enrolled as Fellow in Society of Actuaries
- Active member in good standing of American Academy of Actuaries
- Knowledge of actuarial methods and modeling techniques
- Ability to verify and document assumptions and justify analysis using actuarial principles
- Adherence to Actuarial Standards of Practice
- Ability to accomplish tasks accurately under pressure, determine priorities, and meet deadlines
- Ability to identify problems, design and implement solutions, and monitor results
- Ability to read and comprehend written and spoken English
- Ability to communicate clearly and effectively
- Ability to work in a general office setting with ergonomically configured equipment
- Ability to stoop, bend, sit and/or stand for extended periods, perform repetitive motions, and lift/carry files and business materials
- Approximately 5% travel required
Benefits:
- Equal opportunity employment
- Work-from-home arrangement indicated by location field (WFH: NC)
- Professional development through actuarial student program updates and staff development
- Coaching, performance reviews, and regular one-on-ones
- Participation in strategic and internal committees
- Continuous improvement and lean methodology initiatives
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