Managing Actuary – Value-Based Care

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $94.1k - $164.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 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

• Lead a small team of actuaries and support their training and personal development • Ensure compliance with applicable Actuarial Standards of Practice • Lead pricing, forecasting, reserving, and other actuarial processes • Develop key assumptions and evaluate financial experience and trend drivers • Develop and communicate actionable, strategic recommendations to leadership • Manage actuarial models supporting experience reporting, reserves and accruals, bid pricing/rate filings, forecasting, and contracting models • Own actuarial processes within the company and with external vendors for assigned lines of business • Perform baseline analysis of expected future rate changes and support rate filings with federal and state agencies when required • Oversee monthly development and review of IBNR reserve estimates for CareSource lines of business when required • Communicate process, project, goal, and task status and results to leaders as needed

🎯 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 • Fellow of the Society of Actuaries (FSA) preferred • Prior experience with value-based care, alternative payment models, and/or other risk-bearing arrangements preferred • Two to three (2 to 3) years or more of management experience preferred • Two to three (2 to 3) years or more of actuarial experience preferred • Strong database experience with SQL, 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 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 and 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 analyze data, develop and maintain models, and report findings and conclusions • Sound business judgment when drawing conclusions and making recommendations • Expert proficiency with Microsoft Excel • Advanced proficiency with Microsoft Word and PowerPoint • 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 • Equal opportunity and belonging-focused work environment