Manager, Actuary (Medicaid)

CareSource Management Services LLC; Dayton (OH); Hybrid; USD 140,000 - 190,000; Full time

Job summary

CareSource in Dayton, OH is seeking a Managing Actuary to provide leadership and direction to ensure team goals and strategies are successfully achieved.

The role encompasses pricing, forecasting, reserving and the development of key assumptions, with oversight of actuarial models, rate filings, and IBNR reserves. Strong communication and collaboration with leadership and external vendors are essential to drive business results.

Qualifications

• Bachelor's degree in actuarial science, mathematics, economics or 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

Responsibilities

• 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
• 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
• Oversee development and review of IBNR reserve estimates for all CareSource lines of business on a monthly basis
• Perform any other job related instructions as requested

Skills

Communication skills

Leadership

Data analysis

Problem solving

Excel proficiency

SQL

SAS

R

Python

Team management

Education

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

Tools

SQL

SAS

Access

Job description

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

Compensation Range

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.