Job Summary:
This position will support/lead our team specifically for our ACA Market. Prior experience with small group is preferred but will consider previous experience with large group.
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, 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
- Specific 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 activities
- Specific function may require overseeing 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 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
- 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, 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
- Expert proficiency level with Microsoft Excel
- Advanced proficiency with Microsoft Suite to include Word and Power Point
- 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 Range:
$90,500.00 - $158,400.00
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. 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
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Create an Inclusive Environment
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Cultivate Partnerships
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Develop Self and Others
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Drive Execution
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Influence Others
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Pursue Personal Excellence
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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, including disability and veteran status. We are committed to a diverse and inclusive work environment.
Top Skills
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
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