Actuarial Director, Pricing
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Job Description
Actuarial Director leading pricing, rate filings, and risk analysis for PacificSource’s Commercial and Medicare Advantage healthcare plans. Managing actuarial teams and supporting financial performance.
Responsibilities:
- Direct actuarial pricing and related services
- Develop premium rates for Commercial business and Medicare Advantage bids
- Prepare rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and required 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 with financial loss-ratio initiatives
- Drive process improvement and use of lean methodologies
- Participate in PacificSource research activities
- Follow privacy policy and HIPAA requirements and perform other assigned duties
Requirements:
- At least six years actuarial experience
- Three years 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 with sound logic and 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 stoop and bend, sit and/or stand for extended periods, perform repetitive motions, and lift/carry files and business materials
Benefits:
- Work from home (WFH) arrangement
- Travel approximately 5% of the time
- Equal opportunity employment
- Diversity, equity, inclusion and social justice efforts
- General office equipment ergonomically configured
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