AVP, Actuarial Science (Medicaid)

Drive and support company strategy by managing actuarial expertise in coordination with other leaders to ensure actuarial soundness and improve profitability across CareSource’s lines of business.

Responsibilities

• Oversee 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 enhance profitability of the business area(s) under oversight.
• Assure coordination, relevance, and performance of actuarial functions to meet CareSource business needs.
• Manage necessary improvements and changes to models, reports, and processes to align with evolving business needs.
• Drive continual improvement of actuarial processes to support the business.
• Represent Actuarial Services and CareSource in communications, presentations, and meetings with regulators, owners, and external parties on actuarial matters.
• Align Actuarial Services with the Finance Department to enhance business intelligence and understanding of company financials for executive leadership.
• Support decision-making and strategy regarding actuarial inputs to monthly financial reporting, such as claim reserves/accruals, variance analysis, and contributions to executive reports.
• Implement and maintain actuarial processes and controls consistent with best practices to ensure accurate and timely reporting.
• Perform additional job duties as requested.

Requirements

• Bachelor’s degree in actuarial science, mathematics, economics, or a related field.
• Minimum of ten (10) years of experience in the Actuarial Industry, with at least five (5) years of management experience.
• Minimum of five (5) years of experience in healthcare actuarial functions, including Medicaid, Commercial, and/or Medicare Advantage business; rate negotiations; process/model/report design; and state/federal reporting requirements.
• Managed care and state/federal government program experience preferred.
• Experience interacting with state or federal regulators, CMS, or other external regulatory/auditing entities preferred.
• Experience communicating and presenting to internal senior leaders.

Skills

• Excellent strategic planning and process design skills.
• Advanced PC skills, including Excel, Word, and PowerPoint.
• Strong analytical, problem-solving, and critical-thinking skills.
• Ability to articulate and defend complex ideas to non-technical audiences.
• Collaborative with strong influencing skills.
• Fact-based decision-making.
• Excellent oral, written, and interpersonal communication skills.
• Strong managerial and team-building skills, with a proven track record of hiring and developing high performers.
• Proven track record of achievement and integrity.
• Strong grasp of business processes, operations, and partner competencies.

Qualifications

• Member of the American Academy of Actuaries (MAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA) required.
• Must maintain memberships in the Society of Actuaries and the American Academy of Actuaries.

Pay

$150,000 - $300,000. Salary is determined by a combination of education, training, experience, scope and complexity of the role, discretion and latitude required, and external/internal data. In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Benefits

CareSource offers a substantial and comprehensive total rewards package focused on every employee’s total well-being.

Schedule

• General office environment; may require sitting or standing for extended periods.
• Travel may be required less than 20% of the time.