Director, Actuarial Science-Risk Adjustment

Job Summary:

The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance.

Essential Functions:

• Accountable for pricing, forecasting, month-end close activities and performance monitoring and explanations; includes development of key processes and assumptions, accruals and evaluation of financial experience and trend drivers including comparisons to budget and reforecast. Develop activities to improve efficiency and affordability
• Execute the strategy and guide teams in the development of multiple internal statistical models to support key business goals / initiatives; bid pricing models, financial projections, contract modeling, ad hoc support projects
• Proactively identify and influence at Senior Management levels Actuarial concepts / business drivers to support interactions with federal level and state level regulators
• On request, lead new business projects for the business development team at the Senior Management level
• Responsible for the integrity of all federal or state rate filing requirements as necessary
• Identify and lead opportunities across multiple functions within the organization where the actuarial team can drive completion of corporate goals
• Lead a team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development, or provide mentorship to other teams
• Remain current, be able to explain and understand business impacts of all pertinent industry developments, including but not limited to, federal and state regulations and sub-regulatory guidance
• Responsible for development of tactical plans and goals for functional area, accountable for problem solving and decisions that impact for the functional area
• Understand and explain the financial drivers for owned product/market, including IBNR and other accruals
• Perform any other job duties as requested

Education and Experience:

• Bachelor's degree in actuarial science, mathematics, economics or a related field is required
• Minimum of eight (8) years of decision support, financial analysis, or actuarial experience is preferred
• Minimum of three (3) years of management experience is preferred
• Strong database (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 interact with all levels of management as well as external stakeholders
• Excellent problem-solving skills and attention to detail
• Ability to effectively report data, analyze facts, and exercise sound business judgment when making recommendations
• Ability to identify and analyze problems, draw conclusions, develop and lead processes and communicate status and results
• Ability to lead audits of data and models
• Demonstrate sound business judgment when drawing conclusions and making decisions
• Expert proficiency with Microsoft Suite to include Excel, Word, and Power Point
• Advanced knowledge of SQL, SAS, R, or other data manipulation software is preferred

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 Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. 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.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business