Actuarial Director, Pricing

PACIFICSOURCE

. Direct all actuarial pricing and related services .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in actuarial pricing, risk analysis, and model development, with a strong focus on Medicare Advantage and Commercial lines. Proven leadership in managing actuarial teams and collaborating across departments to drive financial performance and process improvements.

Highest-signal resume keywords

Actuarial PricingRisk AnalysisManagement ExperienceFellowship in Society of ActuariesActuarial Standards of Practice

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Actuarial MethodsModeling TechniquesPremium Rate DevelopmentRate Filings PreparationForecastingBudgetingRisk AdjustmentLean MethodologiesCost AnalysisUtilization Analysis

Soft Skills

Clear CommunicationProblem SolvingTeam LeadershipCoachingPerformance Management

Certifications & Qualifications

Fellow in Society of ActuariesActive Member of American Academy of Actuaries

Industry Keywords

Health ExperienceCommercial Line of BusinessMedicare AdvantageP&L ManagementHIPAA Compliance

About the role

Key responsibilities & impact

Direct all actuarial pricing and related services
Ensure accurate and reliable actuarial activities and sound actuarial analysis of risk
Develop premium rates for the Commercial line of business and Medicare Advantage Bids
Prepare rate filings, bids, supporting exhibits, actuarial certifications, memoranda, and statements of opinion
Direct development, implementation, and maintenance of Commercial rating and pricing models
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 employee termination
Maintain collaborative partnerships with Underwriting, Product Development, Sales, and Finance
Participate in strategic and internal committees
Support Medicare Advantage and Commercial P&L owners on financial loss ratio initiatives
Lead process improvement and promote lean methodologies
Participate in PacificSource research activities
Follow privacy policy and HIPAA laws and regulations
Perform other duties as assigned

Requirements

What you’ll need

At least six years actuarial experience required
Three years management experience required
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
Ability to apply actuarial methods and modeling techniques
Ability to verify and document assumptions, justify analysis and recommendations with sound logic and actuarial principles, and adhere to Actuarial Standards of Practice
Ability to accomplish tasks accurately under pressure, determine priorities, and meet deadlines
Ability to identify and define problems, design and implement solutions, and monitor results
Ability to read and comprehend both 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 and carry files and business materials

Benefits

Comp & perks

Equal opportunity employment
Work inside a general office setting with ergonomically configured equipment
Travel required approximately 5% of the time
Employment remains AT-WILL at all times