PacificSource Health Plans · 13 hours ago
Actuarial Director, Commercial
Helena, MT
Full-time
Onsite
Mid, Senior Level
$127K/yr - $216K/yr
6+ years expPacificSource Health Plans is dedicated to helping members access quality, affordable care. The Actuarial Director will direct all actuarial services for the Commercial line of business, ensuring sound actuarial analysis of risk and managing a team of analysts to meet financial and enrollment goals.
CommunitiesCustomer ServiceNon Profit
Responsibilities
Responsible for developing the organization's premium rates for the Commercial line of business through regular and systematic analysis in a manner that is actuarially sound, competitive in the marketplace, and provides income in accordance with organization goals and objectives
Prepare required rate filings/bids and supporting exhibits, signing actuarial certifications, memoranda and required statements of opinion
Direct the development, implementation, and maintenance of rating and pricing models for the Commercial line of business, coordinating with other departments to ensure compliance with regulatory requirements and consistency with PacificSource rating and underwriting policies
Direct reserving process for Commercial line of business including calculation and implementation of monthly unpaid claims estimates, periodic calculation of applicable risk adjustment and risk sharing payables and receivables, annual evaluation of premium deficiency reserve, and other required support for year-end statement of actuarial opinion
Direct budget forecasting process for Commercial line of business. Oversee calculation of claims, premium, and related expenses for annual budget process
Work with the Actuarial Director of Health Economics to direct the analysis of various elements of risk, cost, and utilization, and ensure alignment of pricing assumptions and enterprise cost management activities
Provide leadership and supervision to a team of actuarial students, credentialed actuaries, and non-actuarial analysts
Assist with hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback, including regular one-on-ones and performance evaluations, for direct reports
Stay informed regarding changes to actuarial curriculum and requirements. Propose updates to student program as needed
Assist in the development of department budgets
Coordinate business activities by maintaining collaborative partnerships with key departments including Underwriting, Product Development, Sales, and Finance
Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy
Provide input into operational and strategic initiatives as they relate to the actuarial functions of the company
Responsible for process improvement and working with other departments to improve interdepartmental processes. Work with staff to promote utilization of lean methodologies for continuous improvement throughout the department
Participate in the design and execution of research activities performed within PacificSource
Meet department and company performance and attendance expectations
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information
Perform other duties as assigned
Qualification
Required
At least six years actuarial experience
Three years management experience
Baccalaureate degree in mathematics, statistics, actuarial science, or a related field
Enrolled as Fellow in Society of Actuaries
Active member in good standing of American Academy of Actuaries
Ability to accomplish tasks accurately under pressure
Ability to determine priorities and meet deadlines
Ability to identify and define problems, design and implement solutions, and monitor results
Ability to apply actuarial methods and modeling techniques
Ability to verify and document assumptions, justify analysis and recommendations with sound logic and actuarial principles
Adherence to Actuarial Standards of Practice
Preferred
Health experience
Company
PacificSource Health Plans
Founded in 1933, PacificSource is a not-for-profit health insurer for people and organizations throughout the Northwest.
1001-5000 employees
H1B Sponsorship
PacificSource Health Plans has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (4)
2023 (2)
2022 (4)
2021 (5)
Funding
Current Stage
Late StageLeadership Team
John Espinola MD MBA
President and CEO
Erick Doolen
Chief Operating Officer
Recent News
2025-11-29
2025-10-22
Company data provided by crunchbase