Actuarial Director, Pricing
About The Position
Direct PacificSource’s actuarial pricing and related services, ensuring accurate and reliable actuarial activities and sound risk analysis that supports the organization’s financial and enrollment goals. Develop premium rates for Commercial and Medicare Advantage, oversee pricing models and required filings, and provide documented actuarial input on decisions affecting the organization’s assumed risk. Lead and supervise a team of actuarial students, credentialed actuaries, and non-actuarial analysts, including oversight of hiring, development, productivity, and work quality. The role also supports reserving, forecasting, budgeting, research, process improvement, and collaboration with internal departments and business leaders.
Requirements
- At least six years of actuarial experience.
- At least three years of management experience.
- Bachelor’s 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 perform accurately under pressure, prioritize tasks, and meet deadlines.
- Ability to identify and define problems, design and implement solutions, and monitor results in a continuous improvement cycle.
- Ability to respond creatively and innovatively to challenges.
- Ability to read and comprehend written and spoken English and communicate clearly and effectively.
Nice To Haves
- Health experience.
Responsibilities
- Develop premium rates for the Commercial line of business 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 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 processes, including risk adjustment and risk-sharing payables and receivables, premium deficiency reserve evaluations, and year-end actuarial opinion support.
- Work with the Actuarial Director of Health Economics to direct analysis of risk, cost, and utilization, aligning 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 actuarial curriculum and requirements and propose updates to the student program.
- Assist in developing department budgets.
- Coordinate business activities and maintain collaborative partnerships with Underwriting, Product Development, Sales, and Finance.
- 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 work with other departments to improve interdepartmental processes; promote lean methodologies for continuous improvement.
- Participate in the design and execution of research activities within PacificSource.
- Meet department and company performance and attendance expectations.
- Follow PacificSource privacy policies and HIPAA requirements for 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
