← all jobs

Actuary, Part D Pricing

Work from home Full-time role Hiring

Job Description

  • The Actuary, Pricing sets pricing assumptions, submits bids, files and gains approval of premium rates and rate certifications with regulatory agencies.
  • You will support implementation of rates, new plans and benefit changes.
  • You will provide guidance to Product Development on new product/benefit cost impacts.
  • You will develop and maintain pricing tools that price standard and custom benefits.
  • The Actuary, Pricing will report to the Associate Director, Actuarial Pricing.
  • The Actuary, Pricing establishes market level financial metrics to align with segment profitability goals, analyzes market level results and projections and develops recommended pricing actions to address gaps to targeted metrics.
  • You will leverage market level projections and experience data tools to research root cause and capture insights.
  • You will research and understand competitors in marketplace and collaborates with sales and other partners supporting the markets to develop strategies for profitable membership growth.
  • You will be accountable for actuarial certifications on rate filings, including attesting to compliance with state and federal rating and benefit regulations.
  • You will advise executives to develop functional strategies (often segment specific) on matters of significance.

Requirements

  • Bachelor's Degree
  • FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations MAAA
  • Demonstrated ability to articulate ideas effectively in both written and oral forms
  • Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending)

Benefits

  • Health benefits effective day 1
  • Paid time off, holidays, volunteer time and jury duty pay
  • Recognition pay
  • 401(k) retirement savings plan with employer match
  • Tuition assistance
  • Scholarships for eligible dependents
  • Parental and caregiver leave
  • Employee charity matching program
  • Network Resource Groups (NRGs)
  • Career development opportunities Apply To this Job

More open positions

AVP, Valuation Actuary Manager

Work from home Full-time role

Clinical Trials Billing and Collections Analyst - Remote

Work from home Full-time role

Full-time Phone/ Email collections Agent - PH location only. - Contract to Hire

Work from home Full-time role

Medical Collectors - Remote (Tri-County Area)

Work from home Full-time role

Worker's Compensation AR Collections Specialist-Remote/TX Resident

Work from home Full-time role

Procurement Specialist - Los Angeles, CA

Work from home Full-time role

Remote Customer Experience Associate – Work From Home, Entry Level (EV & Sustainable Energy)

Work from home Full-time role

Executive Director, Health 100 Product & Engineering Chief of Staff

Work from home Full-time role

Remote Call Center Appointment Setter / Confirmer

Work from home Full-time role

Remote: Global Head of Product Operations (m/w/d)

Work from home Full-time role

Steuerfachkraft (m/w/d) in Weinsberg mindestens 52.000€ - 100% Remote möglich

Work from home Full-time role

Remote Customer Service Representative – Travel Assistance, Booking & Support for careerzynith Airline Passengers

Work from home Full-time role

Remote Out of Office Position / Data Entry (Hiring Immediately)

Work from home Full-time role

VP, HR Business Partners – Shared Services

Work from home Full-time role

Junior Software Engineer (m/w/d)

Work from home Full-time role

Designer / Sales Rep for South Suburbs of Pittsburgh

Work from home Full-time role

Lead AI Consultant w/m/d

Work from home Full-time role

Behavioral Health Intake Specialist- Bilingual Spanish Preferred

Work from home Full-time role

Experienced Data Entry Clerk – Remote Opportunity with careerzynith

Work from home Full-time role

Experienced Customer Service Representative – Entry-Level Opportunity with Careerzynith

Work from home Full-time role

Project Manager Part-Time

Work from home Full-time role