Managing Actuary – Value-Based Care

CareSource • Dayton, OH

1d • $94,100 - $164,800 • Onsite

About The Position

The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved. This role involves leading a small team of actuaries, ensuring compliance with Actuarial Standards of Practice, and supporting their professional development. The position is responsible for various actuarial processes including pricing, forecasting, and reserving, as well as developing key assumptions, evaluating financial experience, and identifying trend drivers. The Managing Actuary will develop and communicate strategic recommendations to leadership, manage actuarial models for business goals, and oversee specific functions such as rate/bid filings, pricing, forecasting, and contracting models. This may include performing baseline analysis for future rate changes and interacting with federal and state agencies, as well as overseeing the development and review of IBNR reserve estimates.

Requirements

• 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.

Nice To Haves

• Prior experience with value-based care, alternative payment models, and/or other risk-bearing arrangements preferred.
• Two to three (2 to 3) years or more of management experience is preferred.
• Two to three (2 to 3) years or more of actuarial experience is preferred.
• Strong database (SQL, SAS or Access) experience is preferred.
• Managed care or healthcare experience is preferred.
• Fellow of the Society of Actuaries (FSA) is preferred.
• 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.

Responsibilities

• Lead a small team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development.
• 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.
• Perform 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.
• Oversee 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.

Benefits

• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

What This Job Offers

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