[Remote] REMOTE - Managing Actuary (Medicaid Rate Advocacy) - R12287
Note: The job is a remote job and is open to candidates in USA. CareSource is a healthcare company seeking a Managing Actuary to provide leadership and direction for their actuarial team. The role involves managing pricing, forecasting, and reserving processes, as well as developing strategic recommendations to support company goals.
Responsibilities
- 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
Skills
- Bachelor's degree in actuarial science, mathematics, economics or a related field or equivalent years of relevant work experience is required
- Associate of the Society of Actuaries (ASA) is required
- 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
- Medicaid Rate Advocacy experience is highly 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
- Fellow of the Society of Actuaries (FSA) is preferred
Benefits
- 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.
Company Overview
Company H1B Sponsorship