Manager, Actuary (Medicaid)

CareSource•Dayton, OH

20h

About The Position

The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved. The role leads actuarial processes such as pricing, forecasting, reserving, and related work, including developing key assumptions and evaluating financial experience and trend drivers. It develops and communicates actionable strategic recommendations to leadership in support of company goals, and manages actuarial models for initiatives including actual-to-expected experience reporting, reserves and accruals, bid pricing and rate filings, forecasting, and contracting. The position owns assigned actuarial processes within the company and with external vendors for assigned lines of business. Depending on the specific function, the role may analyze expected future rate changes and work with federal and state agencies on rate filings, or oversee monthly development and review of Incurred But Not Reported (IBNR) reserve estimates across CareSource lines of business. Other job-related instructions may also be assigned. The role operates in a general office environment, may require extended periods of sitting or standing, and may require travel less than 10% of the time. Compensation is salary-based; eligible employees may qualify for a bonus tied to company and individual performance. CareSource also describes a comprehensive total rewards package.

Requirements

Bachelor's degree in actuarial science, mathematics, economics, or a related field, or equivalent years of relevant work experience.
Associate of the Society of Actuaries (ASA) is required.
Excellent written and verbal communication, listening, and critical-thinking skills.
Strong interpersonal skills and a 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 and external stakeholders.
Excellent problem-solving skills, with attention to detail.
Excellent auditing and peer-reviewing skills.
Ability to work independently and as part of a team.
Ability to analyze data, develop and maintain appropriate models, and report findings or conclusions tailored to the audience.
Sound business judgment when drawing conclusions and making recommendations.
Ability to communicate process, project, goal, and task status and results to a leader as needed or requested.
Expert proficiency with Microsoft Excel and advanced proficiency with Microsoft Word and PowerPoint.
Knowledge of SQL, SAS, R, Python, or other data-manipulation software.

Nice To Haves

Two to three or more years of management experience.
Two to three or more years of actuarial experience.
Strong database experience with SQL, SAS, or Access.
Managed care or healthcare experience.
Medicaid experience.
Fellow of the Society of Actuaries (FSA).

Responsibilities

Lead pricing, forecasting, reserving, or other actuarial processes, including developing key assumptions and evaluating financial experience and trend drivers.
Develop and communicate actionable, strategic recommendations to leadership in support of company goals.
Manage the development and maintenance of actuarial models supporting business goals and initiatives, including actual-to-expected reporting, reserves and accruals, bid pricing and rate filings, forecasting, and contracting models.
Own assigned actuarial processes within the company and with external vendors for assigned lines of business.
As applicable, perform baseline analysis of expected rate changes for future years and work with federal and state agencies on rate filings and related activities.
As applicable, oversee monthly development and review of IBNR reserve estimates for CareSource lines of business.
Perform other job-related instructions as requested.