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PACIFICSOURCE
1001 – 5000 Zaposleni
PACIFICSOURCE je podjetje za zdravstvene načrte, ustanovljeno leta 1933. Njegovo ekipo sestavlja približno od 1.001 do 5.000 zaposlenih, zato gre za uveljavljeno organizacijo, ki je prisotna v sektorju zdravstvenega kritja.
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Delovna mesta v podjetju

Actuarial Director, Health Plan Pricing

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

USZdružene države AmerikeVAVirginija
127.338 $ – 216.474 $ / leto
Na daljavoPolni delovni časVodjaZahtevani Jezik: angleščinaAktuar

Opis

  • Lead actuarial pricing and related services.
  • Maintain reliable actuarial operations and sound risk analysis.
  • Set Commercial premium rates and develop Medicare Advantage bid rates.
  • Prepare rate filings, bids, supporting exhibits, certifications, memoranda, and statements of opinion.
  • Oversee the development, implementation, and maintenance of Commercial rating and pricing models.
  • Coordinate across departments to support regulatory compliance and alignment with rating and underwriting policies.
  • Support reserving, forecasting, budgeting, risk adjustment and sharing, premium deficiency reserves, and year-end actuarial opinions.
  • 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 employee separations.
  • Build collaborative relationships with Underwriting, Product Development, Sales, and Finance.
  • Serve on strategic and internal committees.
  • Support Medicare Advantage and Commercial P&L owners with financial loss ratio initiatives.
  • Lead process improvements and encourage lean practices.
  • Take part in PacificSource research activities.
  • Meet departmental and company standards for performance and attendance.
  • Follow privacy policies and HIPAA confidentiality and security requirements.
  • Carry out other assigned duties.

Zahteve

  • Bring at least six years of actuarial experience.
  • Have at least three years of management experience.
  • Health industry 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.
  • Be able to verify and document assumptions and support analyses using actuarial principles.
  • Follow Actuarial Standards of Practice.
  • Be able to identify problems, develop and implement solutions, and monitor outcomes.
  • Work accurately under pressure, prioritize tasks, and meet deadlines.
  • Read and understand written and spoken English.
  • Communicate clearly and effectively.
  • Work in a general office setting with ergonomically configured equipment.
  • Be able to stoop, bend, sit or stand for extended periods, perform repetitive motions, and lift and carry files and business materials.
  • Travel approximately 5% of the time.

Ugodnosti

  • Equal opportunity employer.
  • Remote work arrangement for Virginia, as indicated by the work-from-home location field.
  • Actuarial student program updates and staff development opportunities.
  • Coaching, performance reviews, and regular one-on-one meetings.
  • Participation in strategic and internal committees.
  • Involvement in continuous improvement and lean methodology initiatives.

Sorodna delovna mesta

Devoted Health

Senior Commercial Pricing Actuary – Devoted Health (Remote, U.S.)

Devoted Health
1001 – 5000 Zaposleni
Dobro počutjeZdravstveno varstvoZdravstveno zavarovanje
USZdružene države Amerike
175.000 $ – 250.000 $ / leto
Na daljavoPolni delovni časSeniorVodjaZahtevani Jezik: angleščinaAktuar
PythonSQL

Lead commercial health insurance pricing, rating models, underwriting strategy, and state rate filings at Devoted Health. Guide compliant, financially sound products through actuarial leadership and cross-functional partnership.

Odpri