Managing Actuary – Value-Based Care

About the Role

The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.

Responsibilities

• Lead a small team of actuaries, ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development.
• Oversee pricing, forecasting, reserving, or other actuarial processes, including development of key assumptions and 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, 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 (e.g., 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 lines of business on a monthly basis.
• Perform any other job-related instructions as requested.

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; Fellow of the Society of Actuaries (FSA) is preferred.
• Prior experience with value-based care, alternative payment models, and/or other risk-bearing arrangements is 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.

Skills

• 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 develop, prioritize, and accomplish goals.
• Ability to interact with all levels of management as well as external stakeholders.
• Excellent problem-solving skills with attention to detail.
• Excellent auditing and peer reviewing skills.
• Ability to work independently and within a team.
• Ability to effectively analyze data, develop/maintain appropriate models, draw and report findings and/or conclusions tailored for respective audiences.
• Demonstrate sound business judgment when drawing conclusions and making recommendations.
• Communicate status and results of processes, projects, goals, and tasks with leadership as needed or requested.
• Expert proficiency with Microsoft Excel.
• Advanced proficiency with Microsoft Suite (Word, PowerPoint).
• Knowledge of SQL, SAS, R, Python, or other data manipulation software.

Pay

$94,100.00 - $164,800.00. CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Benefits

We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Schedule

• General office environment; may be required to sit or stand for extended periods of time.
• May be required to travel less than 10% of the time.