Role Description
The Pricing Actuary is a critical actuarial leader responsible for directing the strategy, modeling, and financial execution of our Commercial lines of business (e.g., Group and Self-Funded/ASO). This role requires deep expertise in Commercial rating mechanics, rating model architecture, underwriting strategy, and state regulatory rate filings.
Success in this role hinges on flawless operational execution:
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Building robust pricing infrastructure
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Hitting non-negotiable regulatory submission deadlines
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Bringing process consistency to rating cycles
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Working collaboratively with underwriting, sales, finance, network contracting, and state regulators
We place the highest value on proven real-world execution, technical ability, and collaborative leadership.
Responsibilities and Impact
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Rating Model Development & Architecture
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Build, refine, and maintain scalable actuarial rating models and pricing engines across Commercial Large Group lines of business
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Partner with product, clinical, and market leadership to rate competitive benefit packages
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Establish, defend, and document core actuarial pricing assumptions
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Underwriting Partnership & Group Pricing
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Contribute directly to underwriting policy and risk selection strategies for group business
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Design and maintain pricing methodologies for Administrative Services Only (ASO) products
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Monitor group risk profiles and employer group renewal performance
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Regulatory Submissions, Rate Reviews & State Engagement
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Direct the preparation, documentation, and filing of annual and quarterly Commercial rate filings
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Serve as the primary actuarial interface with state regulators throughout the rate review process
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Oversee pricing mechanics related to Commercial regulatory frameworks
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Cross-Functional Collaboration & Strategic Alignment
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Work seamlessly across Finance, Healthcare Economics, Sales/Distribution, Network Management, and Clinical Operations
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Prepare clear, compelling executive-level presentations summarizing rate filing strategies
Qualifications
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8+ years of progressive healthcare actuarial experience
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5+ years of deep, direct focus on Commercial actuarial pricing, rating model development, and regulatory rate filings
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Demonstrated experience building rating engines from scratch or significantly upgrading pricing tools
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Direct experience managing the full lifecycle of Commercial rate filings through SERFF
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Hands-on experience partnering with or establishing guidelines for underwriting teams
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Demonstrated ability to consistently drive complex, time-sensitive filings and pricing projects to completion
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Exceptional interpersonal skills with a proven track record of working constructively across cross-functional teams
Requirements
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Actuarial Credentials: Associate (ASA) or Fellow (FSA) of the Society of Actuaries
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Experience interfacing with reserving, value-based contracting, or medical economics functions
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Comfort operating in a fast-paced, high-growth environment
Benefits
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Employer sponsored health, dental and vision plan with low or no premium
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Generous paid time off
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$100 monthly mobile or internet stipend
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Stock options for all employees
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Bonus eligibility for all roles excluding Director and above
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Commission eligibility for Sales roles
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Parental leave program
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401K program
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And more...