Actuarial Director - Government Programs & Pricing Strategy

Sentara Health; Norfolk (VA); On-site; USD 160,000 - 230,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with Employer Match

Paid Time Off and Sick Leave

Parental & Family Caregiver Leave

Discretionary bonus opportunity

Job summary

Sentara Health in Norfolk, VA seeks a Director, Actuarial – Government Programs to lead pricing, financial performance insights, and strategic analytics across Medicare and Medicaid lines. You will oversee end-to-end pricing, model development, and regulatory submissions while guiding cross-functional teams to improve margins and member growth.

Requires ASA with 7+ years actuarial experience, 5+ years management, and a Bachelor’s degree. FSA is preferred.

Qualifications

• Bachelor’s Degree is required.
• Minimum 5 years management experience.
• Minimum 7 years actuarial experience.
• ASA certification required.
• FSA certification preferred.

Responsibilities

• Lead Government Programs Pricing & Financial Management for Medicare Advantage, Medicaid and related government programs.
• Oversee end-to-end pricing, bid development, rate filings, and regulatory submissions.
• Develop and maintain actuarial assumptions, methodologies, and pricing models.
• Translate pricing assumptions into forward-looking financial projections and scenarios.
• Ensure rate adequacy, competitiveness, and alignment with enterprise financial targets.
• Provide actionable insights to improve margin, membership growth, and cost management.
• Interface with regulators and external actuarial partners as needed.
• Lead and develop a high-performing team of actuaries and analysts.

Education

Bachelor’s Degree

Job description

Sentara Health in Norfolk, VA seeks a Director, Actuarial – Government Programs to lead pricing, financial performance insights, and strategic analytics across Medicare and Medicaid lines. You will oversee end-to-end pricing, model development, and regulatory submissions while guiding cross-functional teams to improve margins and member growth.

Requires ASA with 7+ years actuarial experience, 5+ years management, and a Bachelor’s degree. FSA is preferred.