AVP, Actuarial Science

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $150k - $300k / year

⏰ Full Time

🔴 Lead

📊 Actuary

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • 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.

📋 Description

• Drive company strategy and manage actuarial expertise across CareSource’s actuarial functions • Oversee pricing, forecasting, month-end close activities, performance monitoring, and explanations • Improve profitability using actuarial knowledge and tools • Oversee actuarial functions and coordinate their relevance and performance for business needs • Lead improvements and changes to models, reports, and processes • Manage continual improvement of actuarial processes • Represent Actuarial Services and CareSource in communications, presentations, and meetings with regulators, owners, and external parties • Align Actuarial Services with Finance to improve business intelligence and understanding of company financials • Support actuarial inputs to monthly financial reporting, including claim reserves/accruals, variance analysis, and executive leadership reports • Implement and maintain actuarial processes and controls for accurate, timely financial reporting and handoffs • Perform other requested job duties

🎯 Requirements

• Bachelor’s degree in actuarial science, mathematics, economics, or a related field required • Minimum five years of experience in a healthcare actuarial function, including Medicaid, Commercial, and/or Medicare Advantage business • Minimum ten years of Actuarial Industry experience and five years of management experience preferred • Experience with rate negotiations, process/model/report design, state and federal reporting requirements, and traditional actuarial functions • Managed care and state/federal government program experience preferred • Experience interacting with state or federal regulators, CMS, or external regulatory/auditing entities preferred • Experience communicating and presenting to internal senior leaders • Excellent strategic planning and process design skills • Advanced Excel, Word, and PowerPoint skills • Strong analytical, problem-solving, and critical-thinking skills • Ability to articulate and defend complex ideas and strategies to non-technical audiences • Ability to influence others and make fact-based decisions • Excellent oral, written, and interpersonal communication skills • Strong managerial and team-building skills, with a record of hiring and developing high performers • Proven achievement and integrity • Strong grasp of business processes, operations, and business partner competencies • Membership in the American Academy of Actuaries (MAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA) required • Must maintain memberships in the Society of Actuaries and the American Academy of Actuaries • May travel less than 20% of the time

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Employee total well-being support • Equal opportunity and inclusive workplace