Director, Actuarial ScienceRisk Adjustment

Job Summary:

The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance.

Essential Functions:

• Accountable for pricing, forecasting, monthend close activities and performance monitoring and explanations; includes development of key processes and assumptions, accruals and evaluation of financial experience and trend drivers including comparisons to budget and reforecast. Develop activities to improve efficiency and affordability
• Execute the strategy and guide teams in the development of multiple internal statistical models to support key business goals initiatives; bid pricing models, financial projections, contract modeling, ad hoc support projects
• Proactively identify and influence at Senior Management levels Actuarial concepts business drivers to support interactions with federal level and state level regulators
• On request, lead new business projects for the business development team at the Senior Management level
• Responsible for the integrity of all federal or state rate filing requirements as necessary
• Identify and lead opportunities across multiple functions within the organization where the actuarial team can drive completion of corporate goals
• Lead a team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development, or provide mentorship to other teams
• Remain current, be able to explain and understand business impacts of all pertinent industry developments, including but not limited to, federal and state regulations and subregulatory guidance
• Responsible for development of tactical plans and goals for functional area, accountable for problem solving and decisions that impact for the functional area
• Understand and explain the financial drivers for owned productmarket, including IBNR and other accruals
• Perform any other job duties as requested

• Education and Experience:

  • Bachelors degree in actuarial science, mathematics, economics or a related field is required
  • Minimum of eight (8) years of decision support, financial analysis, or actuarial experience is preferred
  • Minimum of three (3) years of management experience is preferred
  • Strong database (SAS or Access) experience is preferred
  • Managed Care or healthcare experience is preferred

  • 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 interact with all levels of management as well as external stakeholders
    • Excellent problemsolving skills and attention to detail
    • Ability to effectively report data, analyze facts, and exercise sound business judgment when making recommendations
    • Ability to identify and analyze problems, draw conclusions, develop and lead processes and communicate status and results
    • Ability to lead audits of data and models
    • Demonstrate sound business judgment when drawing conclusions and making decisions
    • Expert proficiency with Microsoft Suite to include Excel, Word, and Power Point
    • Advanced knowledge of SQL, SAS, R, or other data manipulation software is preferred

    • 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:

          $132,900.00 $232,700.00

          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 wellbeing and offer a substantial and comprehensive total rewards package.

          Compensation Type (hourlysalary):

          Salary

          Organization Level 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.

            #LISW2