Manager, Actuary – Medicaid

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🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

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👻 Ghost score 10%

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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

• Provide leadership and direction to ensure team goals and strategies are successfully achieved • Perform pricing, forecasting, reserving and other actuarial processes, including developing key assumptions and evaluating financial experience and trend drivers • Develop and communicate actionable and strategic recommendations to leadership in support of company goals • Manage development and maintenance of actuarial models for actual-to-expected experience reporting, actuarial reserves and accruals, bid pricing/rate filings, forecasting and contracting models • Own actuarial processes such as rate/bid filings, pricing, forecasting and reserving within the company and with external vendors for assigned lines of business • Perform baseline analysis on expected future rate changes and work with federal and state agencies to support rate filings and related activities, as applicable • Oversee development and review of IBNR reserve estimates for CareSource lines of business monthly, as applicable • Perform other job-related instructions as requested • Communicate process, project, goal and task status and results to the leader as needed or requested

🎯 Requirements

• 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 • 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 • Medicaid experience is preferred • 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 • May be required to travel less than 10% of the time

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Substantial and comprehensive total rewards package • Employee total well-being support

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