Caresource

Actuarial Analyst I

Caresource$62K — $100K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in actuarial science, mathematics, economics, or related field required
  • Strong database experience in SAS or Access preferred
  • Managed care or healthcare experience preferred
  • Active pursuit of an actuarial designation (ASA) required
  • Minimum of one exam passed under the Society of Actuaries Exam Syllabus required

Responsibilities

  • Develop actionable recommendations for management based on analysis
  • Calculate profitability reports for business segments
  • Perform regular and ad-hoc analysis to identify efficiency opportunities
  • Evaluate assumptions in various processes through analysis/studies
  • Collaborate in cross-functional teams to address organizational issues
  • Prepare monthly calculations for IBNR reserves
  • Assess government reimbursement processes to identify risks and opportunities

Benefits

  • General office environment with flexibility in seating and standing arrangements
Full Job Description

Job Summary:

The Actuarial Analyst I is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives.

Essential Functions:

  • Develops actionable recommendations to management relative to all analysis
  • Calculates profitability reports on appropriate business segments
  • Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability
  • Performs regular and ad-hoc analysis/studies to evaluate assumptions used in other processes
  • Participates in cross functional teams to address key issues facing the organization
  • Prepares monthly calculation of the company's IBNR reserves
  • Evaluates government reimbursement process to determine areas of risk and opportunity
  • Participates in initiatives to improve operating results
  • Initiates key analysis to improve overall MLR results
  • Performs other duties as assigned

Education and Experience:

  • Bachelor's degree in actuarial science, mathematics, economics or a related field is required
  • Strong database (SAS or Access) experience is preferred
  • Managed Care or healthcare experience is preferred

Competencies, Knowledge and Skills:

  • Intermediate interpersonal/verbal communication skills and a high level of professionalism
  • Intermediate written communication skills
  • Intermediate ability to work independently and within a team environment
  • Intermediate ability to work in fast paced environment with changing priorities
  • Intermediate ability to remain calm under pressure
  • Intermediate proficiency level with Microsoft Excel
  • Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook
  • Basic ability to effectively present information and respond to questions from peers and management
  • Basic ability to analyze and interpret financial data in order to coordinate the preparation of financial records
  • Basic knowledge of SQL, SAS, R, or other data manipulation software
  • Effective problem-solving skills with attention to detail
  • Effective listening and critical thinking skills

Licensure and Certification:

  • A minimum of one exam passed under the Society of Actuaries Exam Syllabus is required; exam SRM via transition credit does not meet this requirement
  • Active pursuit of an actuarial designation (ASA) is required

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$62,700.00 - $100,400.00

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.#LI-RW1

 

 

Brand=CareSource

About Caresource

CareSource is a nonprofit health plan that provides managed care services to individuals and families in Ohio, Kentucky, Indiana, and West Virginia. The company was founded in 1989 and is headquartered in Dayton, Ohio. CareSource offers a variety of health insurance plans, including Medicaid, Medicare Advantage, and Marketplace plans. The company is committed to improving the health and well-being of its members and invests in programs and services that promote healthy living. CareSource is one of the largest Medicaid managed care plans in the United States.
Learn more about Caresource
Size
4,000 employees
Industry

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