Director, Actuarial Science (Rate Advocacy, Month End Close, Forecasting)

CareSource; Dayton (OH); Hybrid; USD 136,000 - 237,000; Full time

Job summary

CareSource in Dayton seeks a Director of Actuarial Science to shape strategy, drive innovation, and deliver insights that improve company performance. The role leads actuarial teams, ensures regulatory compliance, and develops models to support pricing, forecasting, and financial analysis.

You will oversee federal/state rate filings, AI-enabled solutions, and collaborations across departments to advance risk management and strategic goals while mentoring staff and guiding advanced analytics

Qualifications

• Bachelor's degree in actuarial science, mathematics, economics or a related field.
• Eight (8) years of decision support, financial analysis, or actuarial experience preferred.
• Three (3) years of management experience preferred.
• Strong database (SAS or Access) experience preferred.
• Managed Care or healthcare experience preferred.

Responsibilities

• Pricing, forecasting, month-end close activities and performance monitoring; develop key processes and assumptions.
• Develop activities to improve efficiency and affordability.
• Lead internal actuarial models for pricing, projections, contract modeling, and ad hoc projects.
• Influence senior management on actuarial concepts and regulatory interactions.
• Lead new business projects for the business development team at senior levels.
• Ensure integrity of federal/state rate filing requirements as needed.
• Identify opportunities across functions where actuarial can drive goals.
• Lead actuaries and mentor other teams; support training and development.

Skills

Actuarial knowledge

Leadership

Communication

Regulatory understanding

Analytical thinking

Education

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

Tools

SAS

SQL

R

Access

Job description

Job Summary

The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance.

Essential Functions

• Accountable for pricing, forecasting, month-end close activities and performance monitoring and explanations; includes development of key processes and assumptions, accruals and evaluation of financial experience and trend drivers including comparisons to budget and reforecast.
• Develop activities to improve efficiency and affordability
• Execute the strategy and guide teams in the development of multiple internal statistical models to support key business goals / initiatives; bid pricing models, financial projections, contract modeling, ad hoc support projects
• Proactively identify and influence at Senior Management levels Actuarial concepts / business drivers to support interactions with federal level and state level regulators
• On request, lead new business projects for the business development team at the Senior Management level
• Responsible for the integrity of all federal or state rate filing requirements as necessary
• Identify and lead opportunities across multiple functions within the organization where the actuarial team can drive completion of corporate goals
• Lead a team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development, or provide mentorship to other teams
• Remain current, be able to explain and understand business impacts of all pertinent industry developments, including but not limited to, federal and state regulations and sub-regulatory guidance
• Responsible for development of tactical plans and goals for functional area, accountable for problem solving and decisions that impact for the functional area
• Understand and explain the financial drivers for owned product/market, including IBNR and other accruals
• Leverage actuarial expertise to support the design, development, and implementation of AI-enabled solutions for the actuarial department; partner with internal stakeholders to transition AI use from exploration and learning to scalable, effective solutions that support pricing, forecasting, financial analysis, regulatory support, and other actuarial functions.
• Remain current on emerging AI capabilities, evaluating applicability to actuarial work, and guiding responsible implementation to improve efficiency, insight generation, and business decision support
• Perform any other job related duties as requested.

Education and Experience

• Bachelor's degree in actuarial science, mathematics, economics or a related field required
• Eight (8) years of decision support, financial analysis, or actuarial experience preferred
• Three (3) years of management experience preferred
• Strong database (SAS or Access) experience preferred
• Managed Care or healthcare experience 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 interact with all levels of management as well as external stakeholders
• Excellent problem-solving skills and attention to detail
• Ability to effectively report data, analyze facts, and exercise sound business judgment when making recommendations
• Ability to identify and analyze problems, draw conclusions, develop and lead processes and communicate status and results
• Ability to lead audits of data and models
• Demonstrate sound business judgment when drawing conclusions and making decisions
• Expert proficiency with Microsoft Suite to include Excel, Word, and Power Point
• Advanced knowledge of SQL, SAS, R, or other data manipulation software is preferred

Licensure and Certification

• Associate of the Society of Actuaries (ASA) required
• Fellow of the Society of Actuaries (FSA) preferred

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time
• Up to 15% (Occasional) travel based on the needs of the department may be required

Compensation Range

Compensation Range: $135,600.00 - $237,400.00

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.

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 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.

#LI-RW1 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.