Caresource

Managing Actuary – Value-Based Care

Caresource$94K — $164K *
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 or equivalent experience required
  • Two to three years of management experience preferred
  • Two to three years of actuarial experience preferred
  • Strong database experience (SQL, SAS, Access) preferred
  • Managed care or healthcare experience preferred
  • Associate of the Society of Actuaries (ASA) required
  • Fellow of the Society of Actuaries (FSA) preferred

Responsibilities

  • Lead a small team of actuaries to ensure compliance with Actuarial Standards of Practice and support their development
  • Oversee pricing, forecasting, reserving, and the development of key assumptions
  • Develop and communicate strategic recommendations to leadership
  • Manage the development and maintenance of actuarial models for business initiatives
  • Own and oversee actuarial processes related to rate/bid filings and pricing
  • Perform baseline analysis for future rate changes and collaborate with regulatory agencies
  • Oversee monthly review of Incurred But Not Reported (IBNR) reserve estimates for all lines of business

Benefits

  • Comprehensive total rewards package offered
  • Opportunities for professional development and training
  • Collaborative workplace culture emphasized
  • Potential for bonuses tied to individual and company performance
  • General office working conditions with minimal travel required
Full Job Description

Job Summary:

The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.

Essential Functions:

  • Lead a small team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development.
  • 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
  • Prior experience with value-based care, alternative payment models, and/or other risk-bearing arrangements preferred
  • 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:

$94,100.00 - $164,800.00

CareSource takes into consideration a combination of a candidates education, training, and experience as well as the positions 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 employees 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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