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PACIFICSOURCE
1,001 – 5,000 Employees
PACIFICSOURCE is a health plans company founded in 1933. Its team comprises approximately 1,001 to 5,000 employees, making it an established organization represented across the healthcare coverage sector.
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Actuarial Director of Pricing at PacificSource (Remote, North Carolina)

Lead pricing for Commercial and Medicare Advantage health plans at PacificSource. Oversee actuarial modeling, rate filings, risk analysis, and an actuarial team.

USUnited StatesNCNorth Carolina
$127,338 – $216,474 / year
RemoteFull-timeLeadEnglish RequiredActuary

Description

  • Oversee actuarial pricing and related services.
  • Maintain accurate actuarial work and rigorous risk analysis.
  • Set premium rates for Commercial business and Medicare Advantage bids.
  • Prepare rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and opinions.
  • Lead the development, rollout, and upkeep of Commercial rating and pricing models.
  • Support reserving, forecasting, budgeting, risk adjustment and sharing, premium deficiency reserves, and year-end actuarial opinions.
  • Analyze risk, cost, and utilization alongside the Actuarial Director of Health Economics.
  • Manage actuarial students, credentialed actuaries, and non-actuarial analysts.
  • Contribute to hiring, staff development, coaching, reviews, corrective action, and termination decisions.
  • Build collaborative relationships with Underwriting, Product Development, Sales, and Finance.
  • Serve on strategic and internal committees.
  • Help Medicare Advantage and Commercial P&L owners advance financial loss ratio initiatives.
  • Drive process improvements and encourage lean practices.
  • Take part in PacificSource research.
  • Comply with privacy policies and HIPAA laws and regulations.
  • Handle other assigned duties.

Requirements

  • At least six years of actuarial experience.
  • At least three years of management experience.
  • Health experience is preferred.
  • 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 reasoning and actuarial principles, and follow Actuarial Standards of Practice.
  • Ability to work accurately under pressure, set priorities, and meet deadlines.
  • Ability to define problems, develop and implement solutions, and monitor outcomes.
  • Ability to understand written and spoken English.
  • Clear and effective communication skills.
  • Ability to bend and stoop, sit or stand for extended periods, perform repetitive motions, and lift and carry files and business materials.

Benefits

  • Equal opportunity employment.
  • Work in a general office setting with ergonomically configured equipment.
  • Approximately 5% travel is required.
  • Employment is at will at all times.

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