CareSource
Managing Actuary - Medicaid Rate Advocacy
CareSource, Dayton, Ohio, United States, 45402
Job Summary:
The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.
Essential Functions:Responsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions, as well as evaluation of financial experience and trend driversDevelop and communicate actionable and strategic recommendations to leadership in support of company goalsManage the development and maintenance of actuarial models to support key business goals and initiatives, such as actual to expected experience reporting, actuarial reserves and accruals, bid pricing/rate filings, forecasting, and contracting modelsOwn the actuarial processes being managed (i.e., rate/bid filings, pricing, forecasting, reserving) within the company and with external vendors for assigned lines of businessSpecific function may require performing baseline analysis on expectations of rate changes for future years and work with federal and state agencies to support rate filings and other relevant activitiesSpecific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basisPerform any other job related instructions as requested
Education and Experience:Bachelor's degree in actuarial science, mathematics, economics or a related field or equivalent years of relevant work experience is requiredTwo to three (2 to 3) years or more of management experience is preferredTwo to three (2 to 3) years or more of actuarial experience is preferredStrong database (SQL, SAS or Access) experience is preferredManaged care or healthcare experience is preferred
Competencies, Knowledge and Skills:Excellent written and verbal communication skillsExcellent listening and critical thinking skillsStrong interpersonal skills and high level of professionalismAbility to manage, develop, and motivate staffAbility to develop, prioritize and accomplish goalsAbility to interact with all levels of management as well as external stakeholdersExcellent problem-solving skills with attention to detailExcellent auditing and peer reviewing skillsAbility to work independently and within a teamAbility to effectively analyze data, develop/maintain appropriate models, draw and report findings and/or conclusions tailored for respective audiencesDemonstrate sound business judgment when drawing conclusions and making recommendationsCommunicate status and results of processes, projects, goals and tasks with leader as needed or requestedExpert proficiency level with Microsoft ExcelAdvanced proficiency with Microsoft Suite to include Word and Power PointKnowledge of SQL, SAS, R, Python or other data manipulation software
Licensure and Certification:Associate of the Society of Actuaries (ASA) is requiredFellow of the Society of Actuaries (FSA) is preferred
Working Conditions:General office environment; may be required to sit or stand for extended periods of timeMay be required to travel less than 10% of the timeCompensation Range:$90,500.00 - $158,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.Compensation Type:SalaryCompetencies:- Create an Inclusive Environment- Cultivate Partnerships- Develop Self and Others- Drive Execution- Influence Others- Pursue Personal Excellence- Understand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.
Essential Functions:Responsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions, as well as evaluation of financial experience and trend driversDevelop and communicate actionable and strategic recommendations to leadership in support of company goalsManage the development and maintenance of actuarial models to support key business goals and initiatives, such as actual to expected experience reporting, actuarial reserves and accruals, bid pricing/rate filings, forecasting, and contracting modelsOwn the actuarial processes being managed (i.e., rate/bid filings, pricing, forecasting, reserving) within the company and with external vendors for assigned lines of businessSpecific function may require performing baseline analysis on expectations of rate changes for future years and work with federal and state agencies to support rate filings and other relevant activitiesSpecific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basisPerform any other job related instructions as requested
Education and Experience:Bachelor's degree in actuarial science, mathematics, economics or a related field or equivalent years of relevant work experience is requiredTwo to three (2 to 3) years or more of management experience is preferredTwo to three (2 to 3) years or more of actuarial experience is preferredStrong database (SQL, SAS or Access) experience is preferredManaged care or healthcare experience is preferred
Competencies, Knowledge and Skills:Excellent written and verbal communication skillsExcellent listening and critical thinking skillsStrong interpersonal skills and high level of professionalismAbility to manage, develop, and motivate staffAbility to develop, prioritize and accomplish goalsAbility to interact with all levels of management as well as external stakeholdersExcellent problem-solving skills with attention to detailExcellent auditing and peer reviewing skillsAbility to work independently and within a teamAbility to effectively analyze data, develop/maintain appropriate models, draw and report findings and/or conclusions tailored for respective audiencesDemonstrate sound business judgment when drawing conclusions and making recommendationsCommunicate status and results of processes, projects, goals and tasks with leader as needed or requestedExpert proficiency level with Microsoft ExcelAdvanced proficiency with Microsoft Suite to include Word and Power PointKnowledge of SQL, SAS, R, Python or other data manipulation software
Licensure and Certification:Associate of the Society of Actuaries (ASA) is requiredFellow of the Society of Actuaries (FSA) is preferred
Working Conditions:General office environment; may be required to sit or stand for extended periods of timeMay be required to travel less than 10% of the timeCompensation Range:$90,500.00 - $158,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.Compensation Type:SalaryCompetencies:- Create an Inclusive Environment- Cultivate Partnerships- Develop Self and Others- Drive Execution- Influence Others- Pursue Personal Excellence- Understand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.