Manager, Actuary (Medicaid)

CareSource; Ohio; On-site; USD 94,000 - 165,000; Full time

Job summary

CareSource is seeking a Managing Actuary to lead pricing, forecasting, reserving and model development acrossCareSource’s lines of business. You will communicate strategic recommendations to leadership and collaborate with external vendors to meet company goals.

The role requires an actuarial background (ASA or FSA preferred), strong SQL/SAS/Access skills, and healthcare experience, with potential to influence rate filings and financial planning.

Qualifications

• Bachelor's degree in actuarial science, mathematics, economics or related field or equivalent work experience.
• 2–3 years of management experience preferred.
• 2–3 years of actuarial experience preferred.
• Strong database experience preferred (SQL, SAS, Access).
• Managed care or healthcare experience preferred ( Medicaid preferred).

Responsibilities

• Pricing, forecasting, reserving or other actuarial processes including development of key assumptions and 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 actuarial processes within the company and with external vendors for assigned lines.
• May perform baseline analysis on rate changes for future years and support rate filings and related activities.
• Oversee development/review of IBNR reserve estimates for all CareSource lines on a monthly basis.
• Perform other related duties as assigned.

Skills

Communication

Listening

Interpersonal skills

Staff leadership

Goal setting

Data analysis

Excel

PowerPoint

SQL

SAS

R

Python

Education

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

ASA certification

FSA preferred

Tools

SQL

SAS

Access

Excel

PowerPoint

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

$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.