Director, Actuarial Science

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $135.6k - $237.4k / 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

• Guide the strategic direction, drive innovation, and produce key insights that improve company performance • Oversee pricing, forecasting, month-end close activities, performance monitoring, explanations, processes, assumptions, accruals, and financial experience analysis • Develop activities to improve efficiency and affordability • Execute strategy and guide teams in developing statistical models for bid pricing, financial projections, contract modeling, and ad hoc projects • Identify and influence actuarial concepts and business drivers at Senior Management levels • Support interactions with federal and state regulators • Lead new business projects for the business development team when requested • Ensure integrity of federal and state rate filing requirements • Lead cross-functional actuarial opportunities supporting corporate goals • Lead actuaries, ensure compliance with Actuarial Standards of Practice, and support training and development • Monitor industry developments, regulations, and sub-regulatory guidance and explain business impacts • Develop tactical plans and goals for the functional area and make decisions affecting it • Explain financial drivers for owned products and markets, including IBNR and other accruals • Support the design, development, and implementation of AI-enabled actuarial solutions • Evaluate emerging AI capabilities and guide responsible implementation for pricing, forecasting, financial analysis, regulatory support, and other actuarial functions • Perform other related duties as requested

🎯 Requirements

• Bachelor's degree in actuarial science, mathematics, economics, or a related field required • Eight years of decision support, financial analysis, or actuarial experience preferred • Three years of management experience preferred • Strong database experience with SAS or Access preferred • Managed Care or healthcare experience preferred • Excellent written and verbal communication skills • Excellent listening and critical thinking skills • Strong interpersonal skills and professionalism • Ability to manage, develop, and motivate staff • Ability to interact with all levels of management and external stakeholders • Excellent problem-solving skills and attention to detail • Ability to report data, analyze facts, and exercise sound business judgment • Ability to identify and analyze problems, draw conclusions, develop and lead processes, and communicate results • Ability to lead audits of data and models • Expert proficiency with Microsoft Excel, Word, and PowerPoint • Advanced knowledge of SQL, SAS, R, or other data manipulation software preferred • Associate of the Society of Actuaries (ASA) required • Fellow of the Society of Actuaries (FSA) preferred • Ability to work in a general office environment and sit or stand for extended periods • Up to 15% occasional travel may be required

🏖️ Benefits

• Bonus tied to company and individual performance may apply • Substantial and comprehensive total rewards package • Employee total well-being support • Up to 15% occasional travel based on department needs