Managing Actuary – Value-Based Care

CareSource; United States; Remote; USD 94,000 - 165,000; Full time

Job summary

CareSource is seeking a Managing Actuary to provide leadership and direction to achieve team goals. You will lead a small team of actuaries, manage pricing, forecasting and reserves, and own core actuarial processes for multiple lines of business.

Strong SQL/SAS/Python skills and healthcare experience are highly valued. The role requires a Bachelor’s degree in a related field, ASA certification, and 2–3 years of management and actuarial experience.

Qualifications

• Bachelor’s degree in actuarial science, mathematics, economics or related field.
• ASA certification is required; FSA preferred.
• 2–3 years of management experience is preferred.
• 2–3 years of actuarial experience is preferred.
• Strong experience with SQL, SAS or Access and healthcare knowledge is preferred.

Responsibilities

• Lead a small team of actuaries ensuring compliance with Actuarial Standards of Practice and support training and development.
• Responsible for pricing, forecasting, reserving and development of key assumptions; evaluate financial experience and drivers.
• Develop and communicate strategic recommendations to leadership to support company goals.
• Manage actuarial models for reports, reserves, accruals, rate filings and contracting models.
• Own actuarial processes (rate filings, pricing, forecasting, reserving) with internal and external partners.
• Perform baseline analyses on rate change expectations and support rate filings with agencies.
• Oversee development and review of IBNR reserves for CareSource lines monthly.

Skills

Leadership

Team management

Communication

Critical thinking

Problem solving

Data analysis

Attention to detail

Business judgment

Stakeholder communication

Education

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

Actuarial certification/credentials (ASA required; FSA preferred)

Tools

SQL

SAS

R

Python

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Job Summary:

The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.

Essential Functions:

• Lead a small team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development.
• 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
• Prior experience with value-based care, alternative payment models, and/or other risk-bearing arrangements 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

• 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.

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