Actuarial Director, Pricing
About The Position
Direct PacificSource’s actuarial pricing and related services, ensuring accurate and reliable actuarial activities and sound analysis of risk. The role supports the organization’s financial and enrollment goals by developing competitive, actuarially sound premium rates and providing documented input on decisions affecting assumed risk. It also provides leadership and vision for a team of analysts, including guidance on company policies, mandates, and workflow, and oversight of hiring, productivity, and work quality. The position develops Commercial premium rates and Medicare Advantage bids; prepares rate filings and supporting materials; and directs the development and maintenance of Commercial rating and pricing models. It supports reserving, forecasting, budgeting, and year-end actuarial opinion processes, and collaborates with Health Economics and other departments on risk, cost, utilization, regulatory compliance, underwriting, and enterprise initiatives. The role supervises actuarial students, credentialed actuaries, and non-actuarial analysts, while contributing to staff development, department budgets, process improvement, research, and strategic committees. The work is performed inside a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. The role includes physical activities such as stooping and bending, sitting and/or standing for extended periods, repetitive typing, sorting and filing, and light lifting and carrying of files and business materials.
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 member in good standing of the American Academy of Actuaries.
- Ability to apply actuarial methods and modeling techniques.
- Ability to verify and document assumptions, support 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 as a continuous cycle.
- Ability to be creative and innovative in responding 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 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 regular and systematic analysis, ensuring actuarial soundness, marketplace competitiveness, and income in line 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 on regulatory compliance and consistency with rating and underwriting policies.
- Support reserving, forecasting, and budgeting processes, including calculations for risk adjustment and risk-sharing payables and receivables, annual premium deficiency reserve evaluations, and year-end statements of actuarial opinion.
- 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 termination; provide regular feedback and performance evaluations to direct reports.
- Stay informed about changes to actuarial curriculum and requirements and propose updates to the student program as needed.
- Assist in developing department budgets.
- Maintain collaborative partnerships with Underwriting, Product Development, Sales, Finance, and other key departments to coordinate business activities.
- 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.
- Lead process improvement and collaborate with other departments to improve interdepartmental processes; promote lean methodologies for continuous improvement.
- Participate in the design and execution of research activities at PacificSource.
- Meet department and company performance and attendance expectations.
- Follow PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Director
