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Vp, Actuarial Science Jobs

Company

CareSource
Address , Remote
Employment type FULL_TIME
Salary $150,000 - $300,000 a year
Expires 2023-07-13
Posted at 1 year ago
Job Description
Job Summary:
Vice President, Actuarial Science is responsible for driving company strategy and managing actuarial expertise in coordination with other leaders on all aspects of CareSource’s rate levels to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of CareSource’s lines of business.
Essential Functions:
  • Play a leadership role in the selection and hiring of actuarial staff, and managing actuarial and other staff on a project basis for both actuarial and inter-departmental projects
  • Perform any other job duties as requested
  • Oversee and be responsible for all actuarial aspects of the Marketplace rate filing development, including filing strategy, benefit strategy and design, filing compliance and manage external and internal actuarial resources and relationships involved with those functions
  • Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of CareSource’s rate negotiations with the State Medicaid Departments, and to use actuarial knowledge and tools to help improve profitability of the Medicaid line of business
  • Responsibility for decision making and strategy regarding actuarial inputs to the monthly financial reporting process and reports, such as claim reserves/accruals, variance analysis, actuarial contributions to Management Discussion & Analysis, etc.
  • Use analytical understanding to provide strategic insights and recommendations to CareSource’s C-suite leadership in support of decisions related to the strategic direction of the company
  • Oversee and 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
  • 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.
  • Manage continual improvement of actuarial processes and make changes as needed to support the business
  • Oversee and assure the coordination, relevance and performance of all actuarial functions in support of CareSource business needs, and hold ultimate responsibility for necessary improvements and changes to keep pace with evolving business needs
  • 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
Education and Experience:
  • A minimum of ten (10) years of experience in the Actuarial Industry with a minimum of five (5) years of management experience is required
  • Experience interacting with state or federal regulators, CMS or other external regulatory or auditing entities preferred
  • A minimum of seven (7) years of experience for the actuarial function in Healthcare, including Medicaid, Commercial and/or MA business, rate negotiations, design, state and federal reporting requirements, as well as other traditional actuarial functions
  • Managed care and state/federal government program experience preferred
  • Bachelor of Science/Arts (BA/BS) degree in Actuarial Science, Mathematics or Finance
Competencies, Knowledge and Skills:
  • Experience with using a data warehouse
  • Fact-based decision maker
  • Excellent PC skills, including advanced Excel, Word and PowerPoint
  • Strong problem solving and critical thinking skills
  • Strong analytical skills
  • Ability to articulate and defend complex ideas and strategies to non-technical audiences
  • Strong managerial and team-building skills, with proven track record of hiring and developing high performers
  • A proven track record of achievement and integrity
  • Excellent oral, written and interpersonal communication skills
  • Collaborative, with the ability to effectively influence others
Licensure and Certification:
  • Must maintain memberships in the Society of Actuaries and the American Academy of Actuaries
  • Member of the American Academy of Actuaries (MAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA) is required
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
Compensation range $150,000-$300,000. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
  • Develop Self and Others
  • Drive Execution
  • Understand the Business
  • Create an Inclusive Environment
  • Cultivate Partnerships
  • Energize and Inspire the Organization
  • Pursue Personal Excellence
  • Influence Others

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, including disability and veteran status. We are committed to a diverse and inclusive work environment.