Managing Actuary (Medicaid Rate Advocacy)

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

- Medicaid Rate Advocacy experience is highly preferred

- 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

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

Compensation Range:
$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.
Compensation Type (hourly/salary):
Salary Organization Level Competencies

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Fostering a Collaborative Workplace Culture

- Cultivate Partnerships

- Develop Self and Others

- Drive Execution