REMOTE - AVP, Actuarial Science (Medicaid) - R13187

Job Summary

The AVP, Actuarial Science, drives and supports company strategy while managing actuarial expertise in coordination with others to ensure actuarial soundness and improve profitability.

About the Role

This role oversees actuarial functions, manages improvements and changes to models, reports, and processes, and represents Actuarial Services and CareSource in various communications and meetings.

Responsibilities

• Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of actuarial functions.
• Oversee actuarial functions and assure coordination, relevance, and performance in support of CareSource business needs.
• Manage continual improvement of actuarial processes and make changes as needed to support the business.
• Represent Actuarial Services and CareSource in written and verbal communications, presentations, and meetings with regulators, owners, and other outside parties regarding matters requiring actuarial expertise.
• Support the alignment of Actuarial Services with Finance Department to assure the best possible business intelligence and understanding of company financials in communications to CareSource executive leadership.
• Support decision making and strategy regarding actuarial inputs to the monthly financial reporting process and reports, such as claim reserves/accruals, variance analysis, and actuarial contributions to executive leadership reports.
• Implement and maintain actuarial processes and controls consistent with best practices to assure accurate and timely reporting and handoff of actuarial components and inputs to financial reporting.

Requirements

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

Qualifications

• Member of the American Academy of Actuaries (MAAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA).
• Maintain memberships in the Society of Actuaries and the American Academy of Actuaries.

Skills

• Excellent strategic planning and process design skills.
• Excellent PC skills, including advanced Excel, Word, and PowerPoint.
• Strong analytical skills.
• Strong problem solving and critical thinking skills.
• Ability to articulate and defend complex ideas and strategies to non-technical audiences.
• Collaborative, with the ability to effectively influence others.
• Facts-based decision maker.
• Excellent oral, written, and interpersonal communication skills.
• Strong managerial and team-building skills, with proven track record of hiring and developing high performers.
• Pursues personal excellence.
• Understands the business.

Benefits

Compensation range: $150,000 - $300,000. CareSource offers a substantial and comprehensive total rewards package, including a combination of base compensation and potential bonuses tied to company and individual performance.

Pay

$150,000 - $300,000

Schedule

General office environment; may be required to sit or stand for extended periods of time. May be required to travel less than 20% of the time.

Competencies

• Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Energize and Inspire the Organization - Influence Others - Pursue Personal Excellence - Understand the Business