Managing Actuary - Medicaid Rate Advocacy

November 6

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CareSource

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Medicaid • MyCare Ohio • Health Insurance Marketplace • Medicare Advantage • Health Insurance

1001 - 5000

Description

• This position will specifically support/lead our OH Medicaid Rate Advocacy team • The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved • Responsible for pricing, forecasting, reserving or other actuarial processes including development of key assumptions • 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 • Own the actuarial processes being managed (i.e., rate/bid filings, pricing, forecasting, reserving) within the company • Specific function may require performing baseline analysis on expectations of rate changes for future years • Overseeing 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

Requirements

• Bachelor's degree in actuarial science, mathematics, economics or a related field or equivalent years of relevant work experience is required • 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