Director, Actuarial
sentara healthNorfolk, VA
$10,000 per month
APPLYDirector, Actuarial
sentara healthNorfolk, VAManager L7
$10,000 per month
Direct Life Insurance CarriersDirect Health and Medical Insurance CarriersAll Other Insurance Related Activities
APPLY NOWOverview:
The Director, Actuarial – Government Programs will lead actuarial pricing, financial performance insights, and strategic analytics across SHP’s Medicare and Medicaid lines of business. This role is critical to ensuring market‑competitive, compliant, and financially sustainable products while translating actuarial insights into actionable business decisions. City/State
Norfolk, VAWork Shift
First (Days)
Core Responsibilities:
- Government Programs Pricing & Financial Management
- Lead end‑to‑end 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
- Forecasting & Performance Insights
- Translate pricing assumptions into forward‑looking financial projections and scenarios
- Monitor emerging experience vs. pricing assumptions and identify key drivers of variance
- Provide actionable insights to improve margin, membership growth, and cost management
- Regulatory & Compliance Leadership
- Ensure compliance with CMS, state Medicaid agencies, and insurance department requirements
- Support actuarial certifications, rate filings, and audit readiness
- Interface with regulators and external actuarial partners as needed
- Strategic Partnership & Cross‑Functional Leadership
- Benefit design and product strategy
- Value‑based care and provider reimbursement models
- Cost of care and utilization management strategies
- Align actuarial assumptions with operational and market realities across the enterprise
- Team Leadership & Talent Development
- Lead and develop a high‑performing team of actuaries and analysts
- Establish clear priorities, governance, and quality standards for actuarial work products
- Foster a culture of innovation, continuous improvement, and accountability
- Enterprise Contribution & Thought Leadership
- Contribute to enterprise planning, budgeting, and long‑term strategy
- Present insights and recommendations to senior leadership in a clear, actionable manner
- Identify opportunities for automation, analytics advancement, and process optimization
Qualifications:
Bachelor’s Degree Required 5 years Management Experience 7 years Actuarial ExperienceASA RequiredFSA Preferred
Benefits:
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000 Paid Time Off and Sick LeavePaid Parental & Family Caregiver Leave
- Emergency Backup CareLong‑Term, Short‑Term Disability, and Critical Illness plans
- Life Insurance 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000 Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources PlanAnnual discretionary bonus opportunity when system and employee eligibility criteria are met
Sentara Health is an equal opportunity employerand prides itself on the diversity and inclusiveness of its workforce, guiding principle to reflect the communities it serves. In support of our mission “to improve health every day,” this is a tobacco‑free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama
DelawareFloridaGeorgiaIdahoIndianaKansasLouisianaMaineMarylandMinnesotaNebraskaNevadaNew Hampshire
North Carolina
North DakotaOhioOklahomaPennsylvaniaSouth Carolina
South Dakota
TennesseeTexasUtahVirginiaWashingtonWest Virginia
WisconsinWyoming
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Level
Manager L7
Salary
$10,000 per month
Location
Norfolk, VA
Occupation
Actuaries
Industry
Direct Life Insurance Carriers
Posted
2 days ago