Manager, Actuary (Medicaid)

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 drivers

Develop and communicate actionable and strategic recommendations to leadership in support of company goals

Manage 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 models

Own the actuarial processes being managed (i.e., rate/bid filings, pricing, forecasting, reserving) within the company and with external vendors for assigned lines of business

Specific 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 activities

Specific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis

Perform 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 required

Two to three (2 to 3) years or more of management experience is preferred

Two to three (2 to 3) years or more of actuarial experience is preferred

Strong database (SQL, SAS or Access) experience is preferred

Managed care or healthcare experience is preferred

Medicaid experience is preferred

Competencies, Knowledge and Skills:

Excellent written and verbal communication skills

Excellent listening and critical thinking skills

Strong interpersonal skills and high level of professionalism

Ability to manage, develop, and motivate staff

Ability to develop, prioritize and accomplish goals

Ability to interact with all levels of management as well as external stakeholders

Excellent problem-solving skills with attention to detail

Excellent auditing and peer reviewing skills

Ability to work independently and within a team

Ability to effectively analyze data, develop/maintain appropriate models, draw and report findings and/or conclusions tailored for respective audiences

Demonstrate sound business judgment when drawing conclusions and making recommendations

Communicate status and results of processes, projects, goals and tasks with leader as needed or requested

Expert proficiency level with Microsoft Excel

Advanced proficiency with Microsoft Suite to include Word and Power Point

Knowledge of SQL, SAS, R, Python or other data manipulation software

Licensure and Certification:

Associate of the Society of Actuaries (ASA) is required

Fellow of the Society of Actuaries (FSA) is preferred

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

May be required to travel less than 10% of the time

$94,100.00 - $164,800.00 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. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Salary

Organization Level Competencies

- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

This 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 environment of belonging that welcomes and supports individuals of all backgrounds.

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