Managing Actuary - Medicare Bids

October 15

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Logo of CareSource

CareSource

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

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

Description

• This position will support our Medicare Bid Actuary line of business. • 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, 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 • Specific function may require performing 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 • Specific function may require 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 • Associate of the Society of Actuaries (ASA) is required • Fellow of the Society of Actuaries (FSA) is preferred

Benefits

• Substantial and comprehensive total rewards package

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