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PacificSource Health Plans
PacificSource Health Plans
1,001 – 5,000 Employees
HealthcareHealthcare InsuranceInsurance
PacificSource Health Plans is a healthcare insurance organization serving individuals, families, employers, and public-program members. Its coverage portfolio includes individual and family plans, employer-sponsored insurance, Medicare, Medicaid, dental coverage, and administrative services for group plans. The company also supports members through customer service, health-management resources, mental health support, and wellness programs.
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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.

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

Description

  • 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

Requirements

  • 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

Benefits

  • 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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Actuarial Director, Health Plan Pricing

PACIFICSOURCE
1,001 – 5,000 Employees
USUnited StatesVAVirginia
$127,338 – $216,474 / year
RemoteFull-timeLeadEnglish RequiredActuary

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

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