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Actuarial Science Director
4 weeks ago
Key Responsibilities:
- Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of CareSource's rate development and negotiations with the State Medicaid Departments, CMS, and regulators, and to use actuarial knowledge and tools to help improve profitability of the business.
- Oversee and assure the coordination, relevance, and performance of actuarial functions in support of CareSource business needs, and hold responsibility for necessary improvements and changes to keep pace with evolving business needs.
- Manage continual improvement of actuarial processes and make changes as needed to support the business.
- Represent Actuarial Services and CareSource in written and verbal communications, presentations and meetings with regulators, owners and other outside parties regarding matters requiring actuarial expertise.
- Support the alignment of Actuarial Services with Finance Department to assure the best possible business intelligence and understanding of company financials in communications to CareSource executive leadership.
- Support decision making and strategy regarding actuarial inputs to the monthly financial reporting process and reports, such as claim reserves/accruals, variance analysis, actuarial contributions to Management Discussion & Analysis, etc.
- Implement and maintain actuarial processes and controls consistent with best practices to assure accurate and timely reporting and handoff of actuarial components and inputs to financial reporting.
- Perform any other job duties as requested.
- Bachelor of Science/Arts (BA/BS) degree in Actuarial Science, Mathematics or Finance.
- A minimum of ten (10) years of experience in the Actuarial Industry with a minimum of five (5) years of management experience is required.
- A minimum of five (5) years of experience for the actuarial function in Healthcare, including Medicaid, Commercial and/or MA business, rate negotiations, design, state and federal reporting requirements, as well as other traditional actuarial functions.
- Managed care and state/federal government program experience preferred.
- Experience interacting with state or federal regulators, CMS or other external regulatory or auditing entities preferred.
- Excellent PC skills, including advanced Excel, Word and PowerPoint.
- Strong analytical skills.
- Strong problem solving and critical thinking skills.
- Ability to articulate and defend complex ideas and strategies to non-technical audiences.
- Collaborative, with the ability to effectively influence others.
- Fact-based decision maker.
- Experience with using a data warehouse.
- Excellent oral, written and interpersonal communication skills.
- Strong managerial and team-building skills, with proven track record of hiring and developing high performers.
- A proven track record of achievement and integrity.
- Member of the American Academy of Actuaries (MAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA) is required.
- Must maintain memberships in the Society of Actuaries and the American Academy of Actuaries.
- General office environment; may be required to sit or stand for extended periods of time.
