Actuarial Director, Pricing

PacificSource Health Plans

. Direct actuarial pricing and related services .

Posted 10/17/2026full-timeRemote • Virginia • United StatesLead💰 $127,338 - $216,475 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in actuarial pricing, model development, and regulatory compliance, with a strong focus on Medicare Advantage and Commercial business. Proven leadership in managing actuarial teams and driving process improvements while adhering to actuarial standards.

Highest-signal resume keywords

Actuarial PricingManagement ExperienceActuarial MethodsRegulatory ComplianceLean Methodologies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Actuarial ScienceModeling TechniquesPremium Rate DevelopmentRate FilingsRisk AdjustmentForecastingBudgetingCost AnalysisUtilization AnalysisActuarial Certifications

Soft Skills

LeadershipCommunicationProblem-SolvingCoachingCollaboration

Certifications & Qualifications

Fellow in Society of ActuariesMember of American Academy of Actuaries

Industry Keywords

Health EconomicsMedicare AdvantageCommercial BusinessActuarial Standards of PracticeP&L ManagementPrivacy PolicyHIPAA Compliance

About the role

Key responsibilities & impact

Direct actuarial pricing and related services
Develop premium rates for Commercial business and Medicare Advantage bids
Prepare rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and required statements of opinion
Direct development, implementation, and maintenance of rating and pricing models
Coordinate with departments to ensure regulatory compliance and consistency with rating and underwriting policies
Support reserving, forecasting, budgeting, risk adjustment, risk sharing, premium deficiency reserve, and year-end actuarial opinion processes
Direct analysis of risk, cost, and utilization with the Actuarial Director of Health Economics
Lead and supervise actuarial students, credentialed actuaries, and non-actuarial analysts
Assist with hiring, staff development, coaching, performance reviews, corrective actions, and terminations
Maintain collaborative partnerships with Underwriting, Product Development, Sales, and Finance
Participate in strategic and internal committees
Support Medicare Advantage and Commercial P&L owners with financial loss-ratio initiatives
Drive process improvement and use of lean methodologies
Participate in PacificSource research activities
Follow privacy policy and HIPAA requirements and perform other assigned duties

Requirements

What you’ll need

At least six years actuarial experience
Three years management experience
Health experience preferred
Baccalaureate degree in mathematics, statistics, actuarial science, or a related field
Enrolled as Fellow in Society of Actuaries
Active member in good standing of American Academy of Actuaries
Knowledge of actuarial methods and modeling techniques
Ability to verify and document assumptions and justify analysis with sound logic and actuarial principles
Adherence to Actuarial Standards of Practice
Ability to accomplish tasks accurately under pressure, determine priorities, and meet deadlines
Ability to identify problems, design and implement solutions, and monitor results
Ability to read and comprehend written and spoken English
Ability to communicate clearly and effectively
Ability to stoop and bend, sit and/or stand for extended periods, perform repetitive motions, and lift/carry files and business materials

Benefits

Comp & perks

Work from home (WFH) arrangement
Travel approximately 5% of the time
Equal opportunity employment
Diversity, equity, inclusion and social justice efforts
General office equipment ergonomically configured