AVP, Actuarial Science

CareSource; Dayton (OH); Hybrid; USD 150,000 - 300,000; Full time

Job summary

CareSource seeks a seasoned AVP, Actuarial Science, to lead actuarial strategy and expertise across CareSource’s lines of business. The role collaborates with senior leaders to ensure actuarial soundness and leverages actuarial tools to improve profitability.

The successful candidate will drive pricing, forecasting, month-end close, and performance explanations, while guiding model and report improvements to meet evolving business needs and regulatory expectations.

Qualifications

• Bachelor’s degree in actuarial science, mathematics, economics or related field required.
• Minimum ten years actuarial experience with at least five years in management.
• Experience with healthcare actuarial functions including Medicaid, Commercial and/or Medicare Advantage; regulator interaction preferred.

Responsibilities

• Drive company strategy and oversee actuarial expertise in coordination with other leaders on all aspects of CareSource’s actuarial functions.
• Manage pricing, forecasting, month-end close activities, and performance monitoring and explanations.
• Uses actuarial knowledge and tools to help improve profitability of the business area(s) they oversee.
• Oversee actuarial functions and assure coordination, relevance, and performance in support of CareSource business needs.
• Represent Actuarial Services and CareSource in communications with regulators, owners and other outside parties.

Skills

Strategic planning

Actuarial expertise

Leadership

Communication

Regulatory communication

Education

Bachelor’s degree in actuarial science, mathematics, economics or related field

MAAA and ASA/FSA certifications

Tools

Actuarial tools

Job description

Job Summary

The AVP, Actuarial Science, is responsible for driving and supporting company strategy and managing actuarial expertise in coordination with others to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of CareSource’s lines of business.

Essential Functions

• Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of CareSource’s actuarial functions.


• This includes pricing, forecasting, month-end close activities, and performance monitoring and explanations.


• Uses actuarial knowledge and tools to help improve profitability of the business area(s) they oversee.


• Oversee actuarial functions and assure the coordination, relevance, and performance in support of CareSource business needs.


• Hold responsibility for necessary improvements and changes to models, reports, and processes to keep pace with evolving business needs.


• Manage continual improvement of actuarial processes and make changes as needed to support the business.


• Represent Actuarial Services and CareSource in written and verbal communications, presentations and meetings with regulators, owners and other outside parties regarding matters requiring actuarial expertise.


• Support the alignment of Actuarial Services with Finance Department to assure the best possible business intelligence and understanding of company financials in communications to CareSource executive leadership.


• Support decision making and strategy regarding actuarial inputs to the monthly financial reporting process and reports, such as claim reserves/accruals, variance analysis, and actuarial contributions to executive leadership reports.


• Implement and maintain actuarial processes and controls consistent with best practices to assure accurate and timely reporting and handoff of actuarial components and inputs to financial reporting.


• Perform any other job duties as requested.

Education and Experience

• Bachelor’s degree in actuarial science, mathematics, economics or a related field is required.


• A minimum of ten (10) years of experience in the Actuarial Industry with a minimum of five (5) years of management experience is preferred.


• A minimum of five (5) years of experience for the actuarial function in Healthcare, including Medicaid, Commercial and/or Medicare Advantage business; rate negotiations, process/model/report design, state and federal reporting requirements, as well as other traditional actuarial functions.


• Managed care and state/federal government program experience preferred.


• Experience interacting with state or federal regulators, CMS or other external regulatory or auditing entities preferred.


• Experience communicating/presenting to internal senior leaders.

Competencies, Knowledge and Skills

• Excellent strategic planning and process design skills.


• Excellent PC skills, including advanced Excel, Word and PowerPoint.


• Strong analytical skills.


• Strong problem solving and critical thinking skills.


• Ability to articulate and defend complex ideas and strategies to non-technical audiences.


• Collaborative, with the ability to effectively influence others.


• Fact-based decision maker.


• Excellent oral, written and interpersonal communication skills.


• Strong managerial and team-building skills, with proven track record of hiring and developing high performers.


• A proven track record of achievement and integrity.


• Strong grasp of business processes, operations, and other business partner competencies.

Licensure and Certification

• Member of the American Academy of Actuaries (MAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA) is required.


• Must maintain memberships in the Society of Actuaries and the American Academy of Actuaries.

Working Conditions

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


• May be required to travel less than 20% of the time.

Compensation

• Compensation range $150,000-$300,000.


• 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

• Fostering a Collaborative Workplace Culture


• Cultivate Partnerships


• Develop Self and Others


• Drive Execution


• Energize and Inspire the Organization


• Influence Others


• Pursue Personal Excellence


• Understand the Business

CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

CareSource reserves the right to amend this job description at any time.

#LI-SW2 Brand=CareSource The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.