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PacificSource Health Plans
PacificSource Health Plans
1,001 – 5,000 कर्मचारी
बीमास्वास्थ्य बीमास्वास्थ्य सेवा
PacificSource Health Plans एक स्वास्थ्य बीमा संगठन है, जो व्यक्तियों, परिवारों, नियोक्ताओं और सार्वजनिक कार्यक्रमों के सदस्यों को सेवाएँ प्रदान करता है। इसके कवरेज पोर्टफोलियो में व्यक्तिगत और पारिवारिक योजनाएँ, नियोक्ता-प्रायोजित बीमा, Medicare, Medicaid, दंत चिकित्सा कवरेज और समूह योजनाओं के लिए प्रशासनिक सेवाएँ शामिल हैं। कंपनी ग्राहक सेवा, स्वास्थ्य-प्रबंधन संसाधनों, मानसिक स्वास्थ्य सहायता और वेलनेस कार्यक्रमों के माध्यम से भी सदस्यों का सहयोग करती है।
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कंपनी की नौकरियाँ

PacificSource Actuarial Director, Pricing (Remote in Virginia)

Lead pricing, rate filings, and risk analysis for PacificSource’s Commercial and Medicare Advantage health plans. Manage actuarial teams and support financial performance.

USसंयुक्त राज्यVAवर्जीनिया
$1,27,338 – $2,16,474 / वर्ष
रिमोटपूर्णकालिकलीडआवश्यक भाषा: अंग्रेज़ीबीमांकक

विवरण

  • Lead actuarial pricing and related services
  • Set premium rates for Commercial business and Medicare Advantage bids
  • Prepare rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and required statements of opinion
  • Oversee the development, implementation, and maintenance of rating and pricing models
  • Work across departments to support regulatory compliance and align with rating and underwriting policies
  • Support reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserve, and year-end actuarial opinion processes
  • Lead risk, cost, and utilization analysis with the Actuarial Director of Health Economics
  • Manage actuarial students, credentialed actuaries, and non-actuarial analysts
  • Support hiring, staff development, coaching, performance reviews, corrective actions, and terminations
  • Build collaborative relationships with Underwriting, Product Development, Sales, and Finance
  • Take part in strategic and internal committees
  • Help Medicare Advantage and Commercial P&L owners advance financial loss-ratio initiatives
  • Improve processes and promote lean methods
  • Contribute to PacificSource research activities
  • Follow privacy policy and HIPAA requirements, and carry out other assigned duties

आवश्यकताएँ

  • Bring at least six years of actuarial experience
  • Have three years of management experience
  • Health experience is preferred
  • Hold a bachelor’s degree in mathematics, statistics, actuarial science, or a related field
  • Be enrolled as a Fellow in the Society of Actuaries
  • Be an active member in good standing of the American Academy of Actuaries
  • Know actuarial methods and modeling techniques
  • Verify and document assumptions, and support analysis with sound logic and actuarial principles
  • Follow Actuarial Standards of Practice
  • Complete work accurately under pressure, set priorities, and meet deadlines
  • Identify problems, develop and implement solutions, and monitor outcomes
  • Read and understand written and spoken English
  • Communicate clearly and effectively
  • Be able to stoop and bend, sit or stand for extended periods, perform repetitive motions, and lift or carry files and business materials

लाभ

  • Work-from-home arrangement
  • Travel approximately 5% of the time
  • Equal opportunity employment
  • Diversity, equity, inclusion, and social justice efforts
  • Ergonomically configured general office equipment

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