Managing Actuary, Medicaid Rate Advocacy

Job not on LinkedIn

🕒 March 24

🇺🇸 United States – Remote

💵 $94.1k - $164.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Actuary

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

⚕️ 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 • Responsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions, 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 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 • 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

🏖️ Benefits

• Comprehensive total rewards package • Bonuses tied to company and individual performance