Talent.com
No longer accepting applications
Managing Actuary - Medicaid

Managing Actuary - Medicaid

CareSourceDayton, OH, United States
10 days ago
Job type
  • Full-time
Job description

Job Summary :

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

Essential Functions :

  • 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

Education and Experience :

  • 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
  • Preferred : Experience leading Medicaid rate advocacy in at least one state
  • Preferred : Understanding of accounting concepts such as accruals
  • Competencies, Knowledge and 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 leader as needed or requested
  • Expert proficiency level with Microsoft Excel
  • Advanced proficiency with Microsoft Suite to include Word and Power Point
  • Knowledge of SQL, SAS, R, Python or other data manipulation software
  • Licensure and Certification :

  • Associate of the Society of Actuaries (ASA) is required
  • Fellow of the Society of Actuaries (FSA) is preferred
  • Working Conditions :

  • 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
  • Compensation Range :

    $92,300.00 - $161,600.00 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. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

    Compensation Type : Salary

    Competencies :

  • Create an Inclusive Environment
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business
  • This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

    #LI-RW1

    Create a job alert for this search

    Actuary • Dayton, OH, United States

    Related jobs
    • Promoted
    Travel Occupational Therapist - Hand Therapy

    Travel Occupational Therapist - Hand Therapy

    Nightingale NursesEnglewood, OH, US
    Full-time
    Nightingale Nurses is seeking a travel Occupational Therapist for a travel job in Englewood, Ohio.Job Description & Requirements. You may not realize it, but as an RN with real world hospital ex...Show moreLast updated: 1 day ago
    • Promoted
    Lifestyle Medicine Interest - Family Medicine Residency Core Faculty Needed : Greater Dayton, OH

    Lifestyle Medicine Interest - Family Medicine Residency Core Faculty Needed : Greater Dayton, OH

    Kettering HealthGreater Dayton, OH, US
    Permanent
    Kettering Health Soins Family Medicine Residency Program is searching for a board-certified provider to join their engaging faculty team! The team would ideally prefer for the incoming facult...Show moreLast updated: 30+ days ago
    • Promoted
    ASSOCIATE NURSE MGR-FLOAT POOL

    ASSOCIATE NURSE MGR-FLOAT POOL

    Premier HealthDayton, OH, US
    Full-time
    Associate Nurse Manager-Float Pool.Position : Associate Nurse Manager-Float Pool.Department : Premier Nursing Staffing Pool. Facility : Miami Valley Hospital.Shift : Full-time 5 : 00pm-3 : 00am / 80 Hours Pe...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Occupational Therapist – Hand Therapy - $2,504 per week

    Travel Occupational Therapist – Hand Therapy - $2,504 per week

    Nightingale NursesEnglewood, OH, United States
    Full-time
    Nightingale Nurses is seeking a travel Occupational Therapist for a travel job in Englewood, Ohio.Job Description & Requirements. You may not realize it, but as an RN with real world hospital experi...Show moreLast updated: 3 days ago
    • Promoted
    Rehab Clinical Associate (PRN)

    Rehab Clinical Associate (PRN)

    Premier HealthTroy, OH, US
    Full-time
    The Rehab Clinical Associate assumes a supportive role on the Rehab care team, performing clerical functions including patient scheduling / registration, performing clinical functions to assist in pr...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Operating Room RN - Orthopedics - $1,850 per week

    Travel Operating Room RN - Orthopedics - $1,850 per week

    Ardor Health SolutionsGreenville, OH, United States
    Full-time
    Ardor Health Solutions is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Greenville, Ohio.Job Description & Requirements. Ardor Health Solutions is looking for a Operating...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Nursing Assistant - Hamilton - 5 Main Acute Medical and Oncology - FT / Days

    Nursing Assistant - Hamilton - 5 Main Acute Medical and Oncology - FT / Days

    Kettering Health NetworkHamilton, OH, US
    Full-time
    Kettering Health Nursing Assistant.Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming ...Show moreLast updated: 3 hours ago
    • Promoted
    Certified Home Health Aid

    Certified Home Health Aid

    Home HelpersHamilton, OH, US
    Full-time +1
    Home Helpers Home Care offices are highly rated when it comes to employee satisfaction an honor that means a lot to us.We take our commitment to families seriously, and we're proud of our talented...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $2,351 per week in Beavercreek, OH

    Travel MRI Tech - $2,351 per week in Beavercreek, OH

    AlliedTravelCareersBeavercreek, OH, US
    Full-time
    AlliedTravelCareers is working with Triage Staffing LLC to find a qualified MRI Tech in Beavercreek, Ohio, 45305!.Travel Radiology : MRI Tech Beavercreek. Shift Details : 12H Days (7 : 00 AM-7 : 30 PM)....Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nuclear Medicine Technologist - $3,050 per week

    Travel Nuclear Medicine Technologist - $3,050 per week

    Nightingale NursesCenterville, OH, United States
    Full-time
    Nightingale Nurses is seeking a travel Nuclear Medicine Technologist for a travel job in Centerville, Ohio.Job Description & Requirements. You may not realize it, but as an RN with real world hospit...Show moreLast updated: 2 days ago
    • Promoted
    Nursing Manager / RN Required

    Nursing Manager / RN Required

    BrightSpring Health ServicesFairfield, OH, US
    Full-time
    Join a team of passionate and caring clinicians who make a difference in people's lives.Our nursing group focuses on compassion and meeting the needs of our clients in a variety of settings such as...Show moreLast updated: 30+ days ago
    • Promoted
    Team Lead, Case Management, Integrated Care - Southwestern Ohio

    Team Lead, Case Management, Integrated Care - Southwestern Ohio

    CareSourceHamilton, OH, United States
    Full-time
    The role of the Team Lead, Case Management - Integrated Care is to provide support, direction and assistance to Case Management staff. Give effective and timely feedback to staff in regard to perfor...Show moreLast updated: 3 days ago
    • Promoted
    Nursing Assistant - Hamilton - 4 Main Ortho and General Surgery - FT / Nights

    Nursing Assistant - Hamilton - 4 Main Ortho and General Surgery - FT / Nights

    Kettering Health NetworkHamilton, OH, United States
    Full-time
    Kettering Health Nursing Assistant.Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming ...Show moreLast updated: 3 days ago
    • Promoted
    Rehab Associate (PRN)

    Rehab Associate (PRN)

    Premier HealthTroy, OH, US
    Full-time
    The Rehab Associate is responsible for financial counseling, informing patients on co-pays and deductibles, and / or providing financial assistance education to patient and their family.The Rehab Ass...Show moreLast updated: 30+ days ago
    • Promoted
    Nursing Assistant - Hamilton - 4 Main Ortho and General Surgery - FT / Days

    Nursing Assistant - Hamilton - 4 Main Ortho and General Surgery - FT / Days

    Kettering Health NetworkHamilton, OH, US
    Full-time
    Nursing Assistant - Hamilton - 4 Main Ortho and General Surgery - FT / Days.Nursing Assistant / OB Tech / HUC / PCA.Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpa...Show moreLast updated: 1 day ago
    • Promoted
    Certified Home Health Aid

    Certified Home Health Aid

    HCAOAHamilton, OH, US
    Full-time
    Now Seeking Caregiver Applicants.Home Helpers Home Care is seeking a caring, compassionate Caregiver to provide service for a client in your local area. We recognize our direct care staff as our gre...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Travel Nurse RN - Telemetry

    Travel Nurse RN - Telemetry

    Titan Medical GroupFletcher, OH, United States
    Full-time
    WHEN YOU WORK FOR US, WE WORK FOR YOU.With Titan Medical, you gain access to thousands of travel nursing and allied health jobs across the country. You also get unmatched service.From the moment you...Show moreLast updated: 11 hours ago
    • Promoted
    Patient Access Specialist

    Patient Access Specialist

    Ensemble Health PartnersFairfield, OH, US
    Full-time
    Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.They offer end-to-end...Show moreLast updated: 30+ days ago
    • Promoted
    MRI Tech - MRI - Hamilton - FT - Second Shift

    MRI Tech - MRI - Hamilton - FT - Second Shift

    Kettering Health NetworkHamilton, OH, United States
    Full-time
    MRI Tech - MRI - Hamilton - FT - Second Shift.Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio.We are committed to tr...Show moreLast updated: 11 days ago
    • Promoted
    Medication Aide (MA-C)

    Medication Aide (MA-C)

    CarespringHamilton, OH, United States
    Full-time
    Medication Aides assists in the administering of medications and treatments to residents as ordered by the attending physician, under the direction of the attending physician, the nurse supervisor ...Show moreLast updated: 30+ days ago