Job Summary:
The Senior Director, Actuarial Science is responsible for setting the strategic direction, driving innovation and producing key insights for the organization that drive company performance.
Essential Functions:
- Provides strategic thought leadership on healthcare policy, maintaining expertise in Medicaid, Medicare, Marketplace, and evolving legislative and regulatory requirements; assesses emerging trends and translates their potential impact into actionable organizational strategies.
- 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.
- Lead a team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development.
- Develop 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.
- Ensure internal stakeholders are held accountable for actuarial function requests supporting key assumptions to be used throughout Finance and the broader organization.
- 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.
- Accountable 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.
- Oversee effectiveness of mentorship programs for analysts.
- 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.
- Recommends and operationalizes strategies that have direct impact on the achievement of functional strategies.
- Understand and explain the financial drivers for owned product/market, including IBNR and other accruals.
- Engage with federal and state trade associations, regulators, and other external stakeholders on policy and legislative matters, providing actuarial perspective to inform advocacy, regulatory interpretation, and business positioning
- Provide actuarial expertise to internal business, government affairs, compliance, legal, and other teams on proposed policy, legislation, regulations, and sub-regulatory guidance; support the development of organizational feedback, comments, and other responses that reflect financial, operational, and actuarial considerations
- Perform any other job related duties as requested.
Education and Experience:
- Bachelor's degree in actuarial science, mathematics, economics or a related field required
- Ten (10) years of decision support, financial analysis, or actuarial experience preferred
- Five (5) 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
- Expert proficiency with Microsoft Suite to include Excel, Word, Power Point and Outlook
- 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
Brand=CareSource
