Actuarial Director, Pricing

PacificSource•Springfield, OR

10h

About The Position

The Actuarial Director, Pricing directs actuarial pricing and related services and is responsible for accurate, reliable actuarial activities. The role ensures sound actuarial analysis of risk to support PacificSource’s financial and enrollment goals, maintain a strong financial position, and provide documented input on decisions affecting assumed risk. It provides leadership and vision to a team of analysts, including guidance on company policies, mandates, and workflow, and oversight of hiring, productivity, and work quality. The director develops Commercial premium rates and Medicare Advantage bids; prepares required filings, bids, exhibits, and actuarial certifications; and directs the development and maintenance of Commercial rating and pricing models. The role supports reserving, forecasting, budgeting, risk adjustment and risk-sharing calculations, premium deficiency reserve evaluation, and year-end actuarial opinion support. It collaborates with Health Economics and departments such as Underwriting, Product Development, Sales, and Finance, and supports Commercial and Medicare Advantage P&L owners on strategic and operational initiatives related to financial loss-ratio goals. The position supervises actuarial students, credentialed actuaries, and non-actuarial analysts; contributes to hiring, staff development, coaching, performance management, and department budgets; and helps improve processes through lean methodologies and continuous improvement. It also participates in strategic and internal committees and research activities. The role is performed in a general office setting with ergonomically configured equipment, and travel is required approximately 5% of the time.

Requirements

At least six years of actuarial experience.
At least three years of management experience.
Baccalaureate degree in mathematics, statistics, actuarial science, or a related field.
Enrolled as a Fellow in the Society of Actuaries.
Active membership in good standing in the American Academy of Actuaries.
Ability to perform assigned functions accurately under pressure, set priorities, and meet deadlines.
Ability to identify and define problems, design and implement solutions, and monitor results as part of continuous improvement.
Ability to apply actuarial methods and modeling techniques.
Ability to verify and document assumptions, support analyses and recommendations with sound logic and actuarial principles, and adhere to Actuarial Standards of Practice.
Ability to read and comprehend written and spoken English and communicate clearly and effectively.

Nice To Haves

Health experience preferred.

Responsibilities

Develop Commercial premium rates and Medicare Advantage bids through regular, systematic analysis that is actuarially sound, competitive, and aligned with organizational goals.
Prepare required rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and statements of opinion.
Direct development, implementation, and maintenance of Commercial rating and pricing models, coordinating with other departments to support regulatory compliance and consistency with rating and underwriting policies.
Support reserving, forecasting, and budgeting, including risk adjustment and risk-sharing payables and receivables, annual premium deficiency reserve evaluation, and year-end statement of actuarial opinion support.
Work with the Actuarial Director of Health Economics to direct analysis of risk, cost, and utilization and align pricing assumptions with enterprise cost management activities.
Lead and supervise actuarial students, credentialed actuaries, and non-actuarial analysts.
Assist with hiring, staff development, coaching, performance reviews, corrective actions, and employee termination; provide regular feedback and one-on-ones to direct reports.
Stay informed about changes to actuarial curricula and requirements and propose updates to the student program as needed.
Assist in developing department budgets.
Coordinate business activities and maintain collaborative partnerships with Underwriting, Product Development, Sales, Finance, and other key departments.
Participate in strategic and internal committees, disseminate information, and represent company philosophy.
Support Medicare Advantage and Commercial P&L owners with input on operational and strategic initiatives related to company financial loss-ratio goals.
Improve processes and collaborate across departments to improve interdepartmental processes; promote lean methodologies and continuous improvement.
Participate in the design and execution of research activities performed within PacificSource.
Meet department and company performance and attendance expectations.
Follow PacificSource privacy policy and HIPAA requirements for confidentiality and security of protected health information.
Perform other duties as assigned.