AVP, Actuarial Science (Medicaid)
Job
Summary:
The AVP, Actuarial Science is responsible for driving and supporting company strategy and managing actuarial expertise in coordination with others to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of CareSource's lines of business.
Essential Functions:
Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of CareSource's rate development and negotiations with the State Medicaid Departments, CMS, and regulators, and to use actuarial knowledge and tools to help improve profitability of the businessOversee and assure the coordination, relevance, and performance of actuarial functions in support of CareSource business needs, and hold responsibility for necessary improvements and changes to keep pace with evolving business needsManage continual improvement of actuarial processes and make changes as needed to support the businessRepresent Actuarial Services and CareSource in written and verbal communications, presentations and meetings with regulators, owners and other outside parties regarding matters requiring actuarial expertiseSupport 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 leadershipSupport 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.
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 reportingPerform any other job duties as requested Education and
Experience:
Bachelor of Science/Arts (BA/BS) degree in Actuarial Science, Mathematics or FinanceA minimum of ten (10) years of experience in the Actuarial Industry with a minimum of five (5) years of management experience is requiredA minimum of five (5) 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 functionsManaged care and state/federal government program experience preferredExperience interacting with state or federal regulators, CMS or other external regulatory or auditing entities preferred Competencies, Knowledge and Skills:
Excellent PC skills, including advanced Excel, Word and PowerPointStrong analytical skillsStrong problem solving and critical thinking skillsAbility to articulate and defend complex ideas and strategies to non-technical audiencesCollaborative, with the ability to effectively influence othersFact-based decision makerExperience with using a data warehouseExcellent oral, written and interpersonal communication skillsStrong managerial and team-building skills, with proven track record of hiring and developing high performersA proven track record of achievement and integrity Licensure and Certification:
Member of the American Academy of Actuaries (MAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA) is requiredMust maintain memberships in the Society of Actuaries and the American Academy of Actuaries 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:
Salary Apply Recommended Skills Accounting Analysis Of Variance Analytical Auditing Business Intelligence Business Requirements Estimated Salary: $20 to $28 per hour based on qualifications.
Summary:
The AVP, Actuarial Science is responsible for driving and supporting company strategy and managing actuarial expertise in coordination with others to ensure actuarial soundness, and to use actuarial knowledge and tools to help improve profitability of CareSource's lines of business.
Essential Functions:
Drive company strategy and manage actuarial expertise in coordination with other leaders on all aspects of CareSource's rate development and negotiations with the State Medicaid Departments, CMS, and regulators, and to use actuarial knowledge and tools to help improve profitability of the businessOversee and assure the coordination, relevance, and performance of actuarial functions in support of CareSource business needs, and hold responsibility for necessary improvements and changes to keep pace with evolving business needsManage continual improvement of actuarial processes and make changes as needed to support the businessRepresent Actuarial Services and CareSource in written and verbal communications, presentations and meetings with regulators, owners and other outside parties regarding matters requiring actuarial expertiseSupport 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 leadershipSupport 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.
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 reportingPerform any other job duties as requested Education and
Experience:
Bachelor of Science/Arts (BA/BS) degree in Actuarial Science, Mathematics or FinanceA minimum of ten (10) years of experience in the Actuarial Industry with a minimum of five (5) years of management experience is requiredA minimum of five (5) 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 functionsManaged care and state/federal government program experience preferredExperience interacting with state or federal regulators, CMS or other external regulatory or auditing entities preferred Competencies, Knowledge and Skills:
Excellent PC skills, including advanced Excel, Word and PowerPointStrong analytical skillsStrong problem solving and critical thinking skillsAbility to articulate and defend complex ideas and strategies to non-technical audiencesCollaborative, with the ability to effectively influence othersFact-based decision makerExperience with using a data warehouseExcellent oral, written and interpersonal communication skillsStrong managerial and team-building skills, with proven track record of hiring and developing high performersA proven track record of achievement and integrity Licensure and Certification:
Member of the American Academy of Actuaries (MAAA) and Associate or Fellow of the Society of Actuaries (ASA or FSA) is requiredMust maintain memberships in the Society of Actuaries and the American Academy of Actuaries 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:
Salary Apply Recommended Skills Accounting Analysis Of Variance Analytical Auditing Business Intelligence Business Requirements Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
