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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 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.

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

Opis

  • 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.

Zahteve

  • 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.

Ugodnosti

  • 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.

Sorodna delovna mesta

Devoted Health

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

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PacificSource Health Plans

Actuarial Director, Commercial Pricing and Medicare Advantage

PacificSource Health Plans
1001 – 5000 Zaposleni
ZavarovanjeZdravstveno varstvoZdravstveno zavarovanje
USZdružene države AmerikeNCSeverna Karolina
127.338 $ – 216.474 $ / leto
Na daljavoPolni delovni časVodjaZahtevani Jezik: angleščinaAktuar

Lead Commercial pricing and Medicare Advantage bids at PacificSource Health Plans, directing actuarial teams and pricing strategy. Oversee rates, models, regulatory filings, risk analysis, and financial planning.

Odpri