CareSource
Director, Actuarial Science(Preferred Experience With Vendor & VBR Pricing/Progr
CareSource, Myrtle Point, Oregon, United States, 97458
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, month-end 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 sub-regulatory 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 product/market, including IBNR and other accruals
Perform any other job duties as requested
Education and Experience
Bachelor's 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 problem-solving 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 well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
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.
#LI-SW2
#J-18808-Ljbffr
Essential Functions
Accountable for pricing, forecasting, month-end 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 sub-regulatory 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 product/market, including IBNR and other accruals
Perform any other job duties as requested
Education and Experience
Bachelor's 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 problem-solving 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 well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
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.
#LI-SW2
#J-18808-Ljbffr