Actuarial Science Leadership Position
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.
* Oversee and assure the coordination, relevance, and performance of actuarial functions in support of CareSource 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.
Requirements:
* Bachelor of Science/Arts (BA/BS) degree in Actuarial Science, Mathematics, or Finance.
* A minimum of ten years of experience in the Actuarial Industry with a minimum of five years of management experience.
* A minimum of five 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.
Competencies, Knowledge, and Skills:
* 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 a proven track record of hiring and developing high performers.
* A proven track record of achievement and integrity.
Licensure and Certification:
* 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.
Working Conditions:
* General office environment; may be required to sit or stand for extended periods of time.
Compensation Range: $150,000-$300,000.
Organization Level Competencies:
* Create an Inclusive Environment.
* Cultivate Partnerships.
* Develop Self and Others.
* Drive Execution.
* Energize and Inspire the Organization.
* Influence Others.
* Pursue Personal Excellence.
* Understand the Business.
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