Actuarial Director, Pricing

PacificSource•Portland, OR

21h

About The Position

Direct PacificSource’s actuarial pricing and related services, ensuring accurate and reliable actuarial activities and sound analysis of risk to support financial and enrollment goals. The role develops and maintains pricing for the Commercial line of business and Medicare Advantage bids, supports reserving, forecasting, budgeting, and risk adjustment work, and provides documented actuarial input on decisions affecting the organization’s risk. It also supports business owners with financial and strategic initiatives and promotes process improvement across departments. The position provides leadership and supervision to actuarial students, credentialed actuaries, and non-actuarial analysts. Responsibilities include guiding team members, overseeing hiring and work quality, supporting staff development and performance management, and coordinating closely with Underwriting, Product Development, Sales, Finance, and other departments. The role participates in strategic and internal committees and research activities. The work is performed inside in a general office setting with ergonomically configured equipment. 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 Fellow in the Society of Actuaries.
Active member in good standing of the American Academy of Actuaries.
Ability to apply actuarial methods and modeling techniques.
Ability to verify and document assumptions, justify analysis and recommendations with sound logic and actuarial principles, and adhere to Actuarial Standards of Practice.
Ability to accomplish tasks accurately under pressure, determine priorities, and meet deadlines.
Ability to identify and define problems, design and implement solutions, and monitor results continuously.
Ability to respond creatively and innovatively to challenges.
Ability to read and comprehend written and spoken English and communicate clearly and effectively.
Physical ability to stoop and bend, sit and/or stand for extended periods, perform repetitive motions such as typing, sorting, and filing, and lightly lift and carry files and business materials.

Nice To Haves

Health experience is preferred.

Responsibilities

Develop Commercial premium rates and Medicare Advantage bids through systematic analysis that is actuarially sound, competitive, and aligned with organizational goals.
Prepare required rate filings and bids, supporting exhibits, actuarial certifications, memoranda, and statements of opinion.
Direct the development, implementation, and maintenance of Commercial rating and pricing models, coordinating with other departments to meet regulatory requirements and align with rating and underwriting policies.
Support reserving, forecasting, and budgeting, including calculation of 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 terminations.
Provide feedback to direct reports through regular one-on-ones and performance evaluations.
Stay informed about actuarial curriculum 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 by providing input on operational and strategic initiatives related to company financial loss ratio goals.
Improve processes across departments and promote lean methodologies for continuous improvement within the department.
Participate in the design and execution of research activities performed within PacificSource.
Meet department and company performance and attendance expectations; follow privacy policy and HIPAA requirements for protected health information; perform other duties as assigned.