Be an early applicantLess than 25 applicants

Company

CareSource · 1 day ago

REMOTE - Managing Actuary - Medicaid Rate Advocacy - R8066

United States

Full-time

Remote

Mid, Senior Level

$90K/yr - $158K/yr

2+ years exp

Maximize your interview chances

Health CareMedical

Comp. & Benefits

Insider Connection @CareSource

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

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

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Actuarial processesPricingForecastingMicrosoft ExcelAssociate of the Society of ActuariesSQLSASAccessManaged care experienceHealthcare experienceMicrosoft SuiteFellow of the Society of ActuariesRPythonAuditing skills

Required

Bachelor's degree in actuarial science, mathematics, economics or a related field or equivalent years of relevant work experience is required

Prior experience with Medicaid Rate Advocacy is a requirement

Associate of the Society of Actuaries (ASA) is required

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

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