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PacificSource Health Plans
PacificSource Health Plans
1001 – 5000 Zaposleni
ZavarovanjeZdravstveno varstvoZdravstveno zavarovanje
PacificSource Health Plans je organizacija za zdravstveno zavarovanje, ki nudi storitve posameznikom, družinam, delodajalcem in članom javnih programov. Njen portfelj zavarovalnega kritja vključuje individualne in družinske načrte, zavarovanje, ki ga sponzorirajo delodajalci, Medicare, Medicaid, zobozdravstveno kritje ter administrativne storitve za skupinske načrte. Podjetje svoje člane podpira tudi prek podpore strankam, virov za upravljanje zdravja, podpore za duševno zdravje in wellness programov.
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Delovna mesta v podjetju

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.

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

Opis

  • 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

Zahteve

  • 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

Ugodnosti

  • 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

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.

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