CareSource · 12 hours ago
REMOTE - Actuarial Analyst II (Medicare) - R8070
United States
Full-time
Remote
Entry, Mid Level
$72K/yr - $116K/yr
1+ years expCareSource is a healthcare company, and they are seeking an Actuarial Analyst II (Medicare) to provide timely and accurate data analysis. The role involves developing recommendations, conducting profitability reports, and participating in cross-functional teams to improve operational efficiency.
Health CareMedicalNon Profit
Responsibilities
Develops actionable recommendations to management relative to all analysis
Calculates profitability reports on appropriate business segments
Leads regular and ad-hoc analysis identifying opportunities to improve efficiency and affordability
Leads regular and ad-hoc analysis/studies to evaluate assumptions used in other processes
Participates in cross functional teams to address key issues facing the organization
Prepares monthly calculation of the company's IBNR reserves
Evaluates government reimbursement process to determine areas of risk and opportunity
Participates in initiatives to improve operating results
Initiates key analysis to improve overall MLR results
Performs other duties as assigned
Qualification
Required
Bachelor's degree in actuarial science, mathematics, economics or a related field is required
Intermediate database (SAS or Access) experience is required
A combination of years of industry experience and exams passed under the Society of Actuaries Exam Syllabus (excluding exam SRM via transition credit) equaling 5 or more is required
Active pursuit of an actuarial designation (ASA) is required
Intermediate interpersonal/verbal communication skills and a high level of professionalism
Intermediate written communication skills
Intermediate ability to work independently and within a team environment
Intermediate ability to work in fast paced environment with changing priorities
Intermediate ability to remain calm under pressure
Intermediate proficiency level with Microsoft Excel
Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook
Intermediate ability to effectively present information and respond to questions from peers and management
Intermediate ability to analyze and interpret financial data in order to coordinate the preparation of financial records
Intermediate knowledge of SQL, SAS, R, or other data manipulation software
Effective problem-solving skills with attention to detail
Effective listening and critical thinking skills
Preferred
Experience with Medicare Advantage bids
Experience with data compilation to support bids
Experience with desk review audit responses
Experience developing and using pricing models related to Medicare Advantage
Experience with Medicare Risk Adjustment
Experience with building large Excel models
Proficient with relational databases and coding languages (SQL)
Experience with DSNP and/or FIDE/HIDE-SNPs
Minimum of one (1) year of decision support or financial analysis experience is preferred
Managed Care or healthcare experience is preferred
Benefits
You may qualify for a bonus tied to company and individual performance
A substantial and comprehensive total rewards package
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
1001-5000 employees
H1B Sponsorship
CareSource has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (30)
2024 (39)
2023 (35)
2022 (21)
2021 (37)
2020 (28)
Funding
Current Stage
Late StageLeadership Team
Erhardt Preitauer
President & Chief Executive Officer
Larry Smart
Chief Financial Officer
Recent News
Dayton Daily News
2025-12-17
Dayton Daily News
2025-11-19
Company data provided by crunchbase