Managing Actuary (Medicaid Rate Advocacy)

Job Summary The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved. Essential Functions Responsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions, and 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 (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. Oversee development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis. Perform any other job‑related instructions as requested. Education and Experience Bachelor’s degree in actuarial science, mathematics, economics or related field, or equivalent years of relevant work experience. Medicaid Rate Advocacy experience is highly preferred. Two to three (2–4) years or more of management experience is preferred. Two to three (2–4) years or more of actuarial experience is preferred. Strong database (SQL, SAS or Access) experience is preferred. Managed care or healthcare experience is preferred. Competencies, Knowledge and Skills 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, and draw and report findings 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 leaders as needed or requested. Expert proficiency level with Microsoft Excel; advanced proficiency with Microsoft Suite (Word, PowerPoint). Knowledge of SQL, SAS, R, Python or other data‐manipulation software. Licensure and Certification Associate of the Society of Actuaries (ASA) is required. Fellow of the Society of Actuaries (FSA) is preferred. Working Conditions General office environment; may be required to sit or stand for extended periods of time. May be required to travel less than 10% of the time. Compensation Salary: $94,100.00 - $164,800.00. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. Equal Opportunity Employer CareSource is an Equal Opportunity Employer. #J-18808-Ljbffr