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.
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