Director, Actuarial Science (Medicaid Rate Advocacy, Month End Close, Forecasting)

CareSource • Dayton, OH

1d • $135,600 - $237,400 • Onsite

About The Position

The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance. This role is accountable for Medicaid forecasting, month-end close activities, performance monitoring and explanations, including the development of key processes and assumptions, accruals, and evaluation of financial experience and trend drivers. The position also involves executing strategy, guiding teams in developing internal statistical models, influencing senior management on actuarial concepts, leading new business projects, and identifying opportunities for the actuarial team to drive corporate goals. Additionally, the role involves leading a team of actuaries, staying current on industry developments, developing tactical plans, understanding financial drivers for owned product/market, and leveraging actuarial expertise to support the design and implementation of AI-enabled solutions.

Requirements

• Bachelor's degree in actuarial science, mathematics, economics or a related field required
• Eight (8) years of decision support, financial analysis, or actuarial experience preferred
• Three (3) years of management experience preferred
• Strong database (SAS or Access) experience preferred
• Managed Care or healthcare experience preferred
• 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 interact with all levels of management as well as external stakeholders
• Excellent problem-solving skills and attention to detail
• Ability to effectively report data, analyze facts, and exercise sound business judgment when making recommendations
• Ability to identify and analyze problems, draw conclusions, develop and lead processes and communicate status and results
• Ability to lead audits of data and models
• Demonstrate sound business judgment when drawing conclusions and making decisions
• Expert proficiency with Microsoft Suite to include Excel, Word, and Power Point
• Associate of the Society of Actuaries (ASA) required

Nice To Haves

• Advanced knowledge of SQL, SAS, R, or other data manipulation software is preferred
• Fellow of the Society of Actuaries (FSA) preferred

Responsibilities

• Accountable for Medicaid forecasting, month-end close activities and performance monitoring and explanations; includes development of key processes and assumptions, accruals and evaluation of financial experience and trend drivers including comparisons to budget and reforecast.
• Develop activities to improve efficiency and affordability.
• Execute the strategy and guide teams in the development of multiple internal statistical models to support key business goals / initiatives; financial projections, contract modeling, ad hoc support projects.
• Proactively identify and influence at Senior Management levels Actuarial concepts / business drivers to support interactions with federal level and state level regulators.
• On request, lead new business projects for the business development team at the Senior Management level.
• Identify and lead opportunities across multiple functions within the organization where the actuarial team can drive completion of corporate goals.
• Lead a team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development, or provide mentorship to other teams.
• Remain current, be able to explain and understand business impacts of all pertinent industry developments, including but not limited to, federal and state regulations and sub-regulatory guidance.
• Responsible for development of tactical plans and goals for functional area, accountable for problem solving and decisions that impact for the functional area.
• Understand and explain the financial drivers for owned product/market, including IBNR and other accruals.
• Leverage actuarial expertise to support the design, development, and implementation of AI-enabled solutions for the actuarial department; partner with internal stakeholders to transition AI use from exploration and learning to scalable, effective solutions that support pricing, forecasting, financial analysis, regulatory support, and other actuarial functions.
• Remain current on emerging AI capabilities, evaluating applicability to actuarial work, and guiding responsible implementation to improve efficiency, insight generation, and business decision support.
• Perform any other job related duties as requested.

Benefits

• bonus tied to company and individual performance
• substantial and comprehensive total rewards package

What This Job Offers

• Job Type: Full-time
• Career Level: Director