Director, Actuarial Science (AI Transformation)

Posted 9 Days Ago
Be an Early Applicant
Hiring Remotely in USA
Remote
136K-237K Annually
Senior level
Healthtech • Insurance
The Role
Lead the actuarial function to drive pricing, forecasting, rate filings, and financial analysis. Develop statistical models, ensure regulatory compliance, mentor staff, support senior management and business development, and implement AI-enabled solutions to improve efficiency and insights.
Summary Generated by Built In
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
  • Leverage actuarial expertise to support the design, development, and implementation of AI-enabled solutions for the actuarial department; partner with internal stakeholders to transition AI use from exploration and learning to scalable, effective solutions that support pricing, forecasting, financial analysis, regulatory support, and other actuarial functions.
  • Remain current on emerging AI capabilities, evaluating applicability to actuarial work, and guiding responsible implementation to improve efficiency, insight generation, and business decision support
  • Perform any other job related duties as requested.

Education and Experience:
  • Bachelor's degree in actuarial science, mathematics, economics or a related field required
  • Eight (8) years of decision support, financial analysis, or actuarial experience preferred
  • Three (3) years of management experience preferred
  • Strong database (SAS or Access) experience preferred
  • Managed Care or healthcare experience 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) required
  • Fellow of the Society of Actuaries (FSA) preferred
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Up to 15% (Occasional) travel based on the needs of the department may be required

Compensation Range:

$135,600.00 - $237,400.00

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):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business


 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-RW1

Brand=CareSource

Skills Required

  • Bachelor's degree in actuarial science, mathematics, economics or related field
  • Associate of the Society of Actuaries (ASA)
  • Fellow of the Society of Actuaries (FSA)
  • Eight (8) years of decision support, financial analysis, or actuarial experience
  • Three (3) years of management experience
  • Strong database experience (SAS or Microsoft Access)
  • Advanced knowledge of SQL, SAS, R, or other data manipulation software
  • Expert proficiency with Microsoft Suite including Excel, Word, and PowerPoint
  • Managed Care or healthcare experience
  • Excellent written and verbal communication and strong interpersonal skills
  • Ability to manage, develop, and motivate staff and ensure compliance with Actuarial Standards of Practice

CareSource Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CareSource and has not been reviewed or approved by CareSource.

  • Strong & Reliable Incentives Bonuses are regularly available and serve as a meaningful part of total compensation. Annual performance-based awards are considered a strong component.
  • Leave & Time Off Breadth PTO starts around four weeks and increases with tenure, complemented by paid holidays and a floating day. Volunteer time expands the available leave options.
  • Affordable Benefits Health plan options are considered affordable, supported by wellness incentives that can reduce premiums. Coverage breadth includes medical, dental, vision, and cost‑lowering programs.

CareSource Insights

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The Company
HQ: Dayton, OH
3,668 Employees

What We Do

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life"​ section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码

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