Caresource

Director, Actuarial Science (Rate Advocacy, Month End Close, Forecasting)

Caresource$135K — $237K *
US-AnywhereRemote in United States
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in actuarial science, mathematics, economics, or related field
  • Minimum eight years of decision support, financial analysis, or actuarial experience
  • At least three years of management experience
  • Experience with databases such as SAS or Access preferred
  • Knowledge of managed care or healthcare preferred

Responsibilities

  • Oversee pricing, forecasting, and performance monitoring efforts
  • Guide teams in developing statistical models aligned with business goals
  • Engage with senior management to advocate for actuarial concepts
  • Lead business development projects at the senior management level
  • Ensure compliance with federal or state rate filing requirements
  • Identify opportunities for the actuarial team to meet corporate objectives
  • Mentor and develop the actuarial team, ensuring adherence to standards

Benefits

  • Comprehensive total rewards package
  • Focus on employee well-being
  • Opportunities for professional development
  • Flexible working conditions with occasional travel
Full Job Description
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.#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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