Managing Actuary - Medicaid

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September 25

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CareSource

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Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• Provides leadership and direction to ensure team goals and strategies are successfully achieved • 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 • Perform 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 (as required) • Oversee development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis (as required) • Perform any other job related instructions as requested

🎯 Requirements

• 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 • Associate of the Society of Actuaries (ASA) is required • Fellow of the Society of Actuaries (FSA) is preferred • Strong database (SQL, SAS or Access) experience is preferred • Knowledge of SQL, SAS, R, Python or other data manipulation software • Expert proficiency level with Microsoft Excel • Advanced proficiency with Microsoft Suite to include Word and Power Point • Managed care or healthcare experience is preferred • Preferred : Experience leading Medicaid rate advocacy in at least one state • Preferred : Understanding of accounting concepts such as accruals • 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 • May be required to travel less than 10% of the time

🏖️ 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.