Actuarial Director, Medicare & Medicaid Pricing

Sentara Health; Norfolk (VA); On-site; USD 210,000 - 308,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k)/403(b) with employer match

Paid Time Off

Parental Leave

Education Assistance

Job summary

Sentara Health in Norfolk, VA seeks a Director of Actuarial for Government Programs to lead pricing, forecasting and regulatory activities across Medicare and Medicaid lines. You will partner with Finance, Product, Network, Risk Adjustment and Clinical teams to drive value and growth while ensuring compliant, financially sustainable products.

The role requires ASA, 7+ years actuarial experience, and 5 years of management with strong leadership and strategic thinking.

Qualifications

• Bachelor's Degree required.
• 5 years of management experience.
• 7 years of actuarial experience.
• ASA required.
• FSA preferred.

Responsibilities

• Lead Government Programs Pricing for Medicare Advantage, Medicaid and related government programs.
• Develop and maintain actuarial assumptions, methodologies, and pricing models.
• Ensure rate adequacy, competitiveness, and alignment with enterprise financial targets.
• Oversee bid development, rate filings, and regulatory submissions.
• Translate pricing assumptions into forward-looking financial projections and scenarios.
• Lead and develop a high-performing team of actuaries and analysts.

Skills

Actuarial expertise

Leadership

Strategic thinking

Education

Bachelor's Degree

Job description

Sentara Health in Norfolk, VA seeks a Director of Actuarial for Government Programs to lead pricing, forecasting and regulatory activities across Medicare and Medicaid lines. You will partner with Finance, Product, Network, Risk Adjustment and Clinical teams to drive value and growth while ensuring compliant, financially sustainable products.

The role requires ASA, 7+ years actuarial experience, and 5 years of management with strong leadership and strategic thinking.