AVP, Actuarial Science (Medicaid)
About The Position
The AVP, Actuarial Science, is responsible for driving and supporting company strategy and managing actuarial expertise in coordination with others to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of CareSource’s lines of business. This role oversees actuarial functions, assures their coordination, relevance, and performance in support of CareSource business needs, and is responsible for necessary improvements and changes to models, reports, and processes. The position also involves representing Actuarial Services in communications with regulators and other external parties, supporting the alignment of Actuarial Services with the Finance Department, and implementing and maintaining actuarial processes and controls consistent with best practices.
Requirements
- Bachelor’s degree in actuarial science, mathematics, economics or a related field is required.
- A minimum of ten (10) years of experience in the Actuarial Industry.
- A minimum of five (5) years of management experience is preferred.
- A minimum of five (5) years of experience for the actuarial function in Healthcare, including Medicaid, Commercial and/or Medicare Advantage business; rate negotiations, process/model/report design, state and federal reporting requirements, as well as other traditional actuarial functions.
- 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.
- Excellent strategic planning and process design 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.
- 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.
- Strong grasp of business processes, operations, and other business partner competencies.
Nice To Haves
- 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.
- Experience communicating/presenting to internal senior leaders.
Responsibilities
- Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of CareSource’s actuarial functions, including pricing, forecasting, month-end close activities, and performance monitoring and explanations.
- Use actuarial knowledge and tools to help improve profitability of the business area(s) they oversee.
- Oversee actuarial functions and assure the coordination, relevance, and performance in support of CareSource business needs.
- Hold responsibility for necessary improvements and changes to models, reports, and processes 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, and actuarial contributions to executive leadership reports.
- 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.
Benefits
- Bonus tied to company and individual performance.
- Substantial and comprehensive total rewards package.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
