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Sentara Healthcare

Director, Actuarial

City/State Norfolk, VA Work Shift First (Days) Overview: The Director, Actuarial - Government ... For positions that are available as remote work, Sentara Health employs associates in the following ...

memployersmins

Actuarial Analyst (Remote)

Omaha, NE · On-site +1

This is an excellent opportunity to grow your actuarial career in a collaborative, supportive environment where learning and curiosity are encouraged every day. Essential Duties and Responsibilities:

Missouri Employers Mutual

$66K - $99K/yr

This is an excellent opportunity to grow your actuarial career in a collaborative, supportive environment where learning and curiosity are encouraged every day. Essential Duties and Responsibilities:

State of Washington

Actuarial Analyst

Olympia, WA · On-site +1

$4.2K - $7.2K/mo

Thurston County - Tumwater, WA Job Type: Full Time - Permanent Remote Employment: Flexible/Hybrid ... sixty days. This is a Washington General Service position. The monthly salary range for this ...

OneDigital

Actuarial Director - Remote

$150K - $170K/yr

Every day, we help over 100,000 employers give their employees peace of mind by providing health ... The Health & Benefits actuarial department at OneDigital is responsible for managing client ...

Clover Health

Senior Actuarial Analyst

Within the first 90 days: You will learn Clover's CMS HCC/RxHCC models and accurately support ... Additionally, we embrace a remote-first culture that supports collaboration and flexibility ...

USAA

Actuarial Analyst I

Chesapeake, VA · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... We offer a flexible work environment that requires an individual to be in the office 4 days per ...

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Director, Actuarial

Director, Actuarial

Sentara Healthcare

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Sentara Health rating

6.9

Company rating: 6.9 out of 10

Based on 392 frontline employees who took The Breakroom Quiz

449th of 886 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
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.
This leader will operate in a highly matrixed environment, partnering closely with Finance, Product, Network, Risk Adjustment, and Clinical teams to drive enterprise value and support SHP's growth strategy.
Core Responsibilities
1. 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

2. 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

3. 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

4. Strategic Partnership & Cross-Functional Leadership
  • Partner with Product, Network/Provider Contracting, and Clinical teams on:
    • 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 [202510-SHP...entity_EDJ | Word]

5. 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

6. 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

Bachelor's Degree Required.
5 years Management.
7 years Actuarial experience.
ASA required.
FSA preferred.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-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 Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects 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, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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