Pricing Actuarial Director — Lead Pricing & Strategy

PacificSource Health Plans; Virginia; On-site; USD 127,000 - 216,000; Full time

Job summary

PacificSource Health Plans seeks a senior actuarial leader to direct pricing and related services. You will steer premium rate development for Commercial and Medicare Advantage, manage model implementation, and ensure regulatory compliance. The role requires strong leadership, budgeting and cross-functional collaboration.

The position emphasizes staff development, attrition control, and strategic input to actuarial and enterprise goals, with travel around 5% as needed.

Qualifications

• Directs actuarial pricing and related services to meet financial goals.
• Oversees development, maintenance, and validation of pricing models.
• Guides budgeting, staffing, and policy compliance across departments.

Responsibilities

• Develop and approve premium rates for Commercial and Medicare Advantage, ensuring actuarial soundness.
• Prepare rate filings, exhibits, and required certifications with opinion statements.
• Lead rating and pricing model implementation in coordination with other units.
• Support reserving, forecasting, and budgeting processes and risk adjustment analyses.
• Direct actuarial team including students and credentialed actuaries; mentor staff.
• Participate in hiring, performance reviews, and departmental strategy committees.

Skills

Accountable leadership

Business & financial acumen

Data-driven analysis

Decision making

Empowerment

Influential communications

Situational leadership

Strategic planning

Education

Baccalaureate degree in mathematics, statistics, actuarial science, or related field

Fellow in Society of Actuaries; active member of American Academy of Actuaries

Job description

PacificSource Health Plans seeks a senior actuarial leader to direct pricing and related services. You will steer premium rate development for Commercial and Medicare Advantage, manage model implementation, and ensure regulatory compliance. The role requires strong leadership, budgeting and cross-functional collaboration.

The position emphasizes staff development, attrition control, and strategic input to actuarial and enterprise goals, with travel around 5% as needed.