Managing Actuary - Medicaid
Job Description:
• Provides 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, as well as 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 baseline analysis on expectations of rate changes for future years and work with federal and state agencies to support rate filings and other relevant activities (as required)
• Oversee development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis (as required)
• 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
• 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
• Associate of the Society of Actuaries (ASA) is required
• Fellow of the Society of Actuaries (FSA) is preferred
• Strong database (SQL, SAS or Access) experience is preferred
• Knowledge of SQL, SAS, R, Python or other data manipulation software
• Expert proficiency level with Microsoft Excel
• Advanced proficiency with Microsoft Suite to include Word and Power Point
• Managed care or healthcare experience is preferred
• Preferred : Experience leading Medicaid rate advocacy in at least one state
• Preferred : Understanding of accounting concepts such as accruals
• 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
• May be required to travel less than 10% of the time
Benefits:
• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Apply tot his job
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• Provides 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, as well as 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 baseline analysis on expectations of rate changes for future years and work with federal and state agencies to support rate filings and other relevant activities (as required)
• Oversee development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis (as required)
• 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
• 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
• Associate of the Society of Actuaries (ASA) is required
• Fellow of the Society of Actuaries (FSA) is preferred
• Strong database (SQL, SAS or Access) experience is preferred
• Knowledge of SQL, SAS, R, Python or other data manipulation software
• Expert proficiency level with Microsoft Excel
• Advanced proficiency with Microsoft Suite to include Word and Power Point
• Managed care or healthcare experience is preferred
• Preferred : Experience leading Medicaid rate advocacy in at least one state
• Preferred : Understanding of accounting concepts such as accruals
• 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
• May be required to travel less than 10% of the time
Benefits:
• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Apply tot his job
Apply To this Job