[Remote] REMOTE - Managing Actuary (Medicaid Rate Advocacy) - R12287

Note: The job is a remote job and is open to candidates in USA. CareSource is a healthcare company seeking a Managing Actuary to provide leadership and direction for their actuarial team. The role involves managing pricing, forecasting, and reserving processes, as well as developing strategic recommendations to support company goals.ResponsibilitiesResponsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions, as well as evaluation of financial experience and trend driversDevelop and communicate actionable and strategic recommendations to leadership in support of company goalsManage 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 modelsOwn the actuarial processes being managed (i.e., rate/bid filings, pricing, forecasting, reserving) within the company and with external vendors for assigned lines of businessSpecific function may require performing baseline analysis on expectations of rate changes for future years and work with federal and state agencies to support rate filings and other relevant activitiesSpecific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basisPerform any other job related instructions as requestedSkillsBachelor's degree in actuarial science, mathematics, economics or a related field or equivalent years of relevant work experience is requiredAssociate of the Society of Actuaries (ASA) is requiredExcellent written and verbal communication skillsExcellent listening and critical thinking skillsStrong interpersonal skills and high level of professionalismAbility to manage, develop, and motivate staffAbility to develop, prioritize and accomplish goalsAbility to interact with all levels of management as well as external stakeholdersExcellent problem-solving skills with attention to detailExcellent auditing and peer reviewing skillsAbility to work independently and within a teamAbility to effectively analyze data, develop/maintain appropriate models, draw and report findings and/or conclusions tailored for respective audiencesDemonstrate sound business judgment when drawing conclusions and making recommendationsCommunicate status and results of processes, projects, goals and tasks with leader as needed or requestedExpert proficiency level with Microsoft ExcelAdvanced proficiency with Microsoft Suite to include Word and Power PointKnowledge of SQL, SAS, R, Python or other data manipulation softwareMedicaid Rate Advocacy experience is highly preferredTwo to three (2 to 3) years or more of management experience is preferredTwo to three (2 to 3) years or more of actuarial experience is preferredStrong database (SQL, SAS or Access) experience is preferredManaged care or healthcare experience is preferredFellow of the Society of Actuaries (FSA) is preferredBenefitsIn 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.Company OverviewCareSource provides managed care services to Medicaid beneficiaries. It was founded in 1989, and is headquartered in Dayton, Ohio, USA, with a workforce of 1001-5000 employees. Its website is https://www.caresource.com/.Company H1B SponsorshipCareSource has a track record of offering H1B sponsorships, with 20 in 2026, 29 in 2025, 39 in 2024, 35 in 2023, 21 in 2022, 37 in 2021, 28 in 2020. Please note that this does not guarantee sponsorship for this specific role.