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Company

CareSource · 5 hours ago

REMOTE - Managing Actuary - Medicaid Rate Advocacy - R7795

United States

Full-time

Remote

Mid, Senior Level

$90K/yr - $158K/yr

2+ years exp

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Comp. & Benefits

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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

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Actuarial processesSQLData manipulation softwareAssociate of the Society of ActuariesManagement experienceHealthcare experienceMicrosoft ExcelCommunication skillsProblem-solving skillsCritical thinking skillsInterpersonal skills

Required

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

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

Excellent auditing and peer reviewing skills

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

Advanced proficiency with Microsoft Suite to include Word and Power Point

Knowledge of SQL, SAS, R, Python or other data manipulation software