Director, Actuarial Services (Medicaid)

Centene Corp   •  

Rego Park, NY

Industry: Healthcare

  •  

8 - 10 years

Posted 34 days ago

This job is no longer available.

Description:
Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sounds operations of the company’s health plan businesses

  • Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes.
  • Negotiate capitation or premium rates with State or Federal agencies.
  • Review health planexperience and identify trends
  • Analyze new business opportunities.
  • Work with Health Plans to ensure soundness of capitation or premium rates
  • Work with State or Federal agencies to assess impact of program/policy changes.
  • Present results to Senior Management/State agencies.

Qualifications:

Education/Experience: Bachelor’s degree in a related field or equivalent experience. 7+ years of actuarial experience, including 2+ years of applicable product experience preferred. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff required.

License/Certification: Fellow or Associate in Society of Actuaries (or equivalent international certification); Member of American Academy of Actuaries (or equivalent international membership)