CareSource
Actuarial Analyst I - (Medicare) page is loaded## Actuarial Analyst I - (Medicare)locations:
Ohio WFHtime type:
Full timeposted on:
Posted Yesterdayjob requisition id:
R10100**Job Summary:**The Actuarial Analyst I (Medicare) is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives.**Essential Functions:*** Develops actionable recommendations to management relative to all analysis* Calculates profitability reports on appropriate business segments* Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability* Performs regular and ad-hoc analysis/studies to evaluate assumptions used in other processes* Participates in cross functional teams to address key issues facing the organization* Prepares monthly calculation of the company's IBNR reserves* Evaluates government reimbursement process to determine areas of risk and opportunity* Participates in initiatives to improve operating results* Initiates key analysis to improve overall MLR results* Performs other duties as assigned**Education and Experience:*** Bachelor's degree in actuarial science, mathematics, economics or a related field is required* Strong database (SAS or Access) experience is preferred* Managed Care or healthcare experience is preferred**Competencies, Knowledge and Skills:*** Intermediate interpersonal/verbal communication skills and a high level of professionalism* Intermediate written communication skills* Intermediate ability to work independently and within a team environment* Intermediate ability to work in fast paced environment with changing priorities* Intermediate ability to remain calm under pressure* Intermediate proficiency level with Microsoft Excel* Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook* Basic ability to effectively present information and respond to questions from peers and management* Basic ability to analyze and interpret financial data in order to coordinate the preparation of financial records* Basic knowledge of SQL, SAS, R, or other data manipulation software* Effective problem-solving skills with attention to detail* Effective listening and critical thinking skills**Licensure and Certification:*** A minimum of one exam passed under the Society of Actuaries Exam Syllabus is required; exam SRM via transition credit does not meet this requirement* Active pursuit of an actuarial designation (ASA) is required**Working Conditions:*** General office environment; may be required to sit or stand for extended periods of time**Compensation Range:**$61,500.00 - $98,400.00CareSource 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*** Fostering a Collaborative Workplace Culture* 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 environment of belonging that welcomes and supports individuals of all backgrounds.**#LI-RW1The **CareSource mission** is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers.We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day.The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource. #J-18808-Ljbffr
Ohio WFHtime type:
Full timeposted on:
Posted Yesterdayjob requisition id:
R10100**Job Summary:**The Actuarial Analyst I (Medicare) is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives.**Essential Functions:*** Develops actionable recommendations to management relative to all analysis* Calculates profitability reports on appropriate business segments* Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability* Performs regular and ad-hoc analysis/studies to evaluate assumptions used in other processes* Participates in cross functional teams to address key issues facing the organization* Prepares monthly calculation of the company's IBNR reserves* Evaluates government reimbursement process to determine areas of risk and opportunity* Participates in initiatives to improve operating results* Initiates key analysis to improve overall MLR results* Performs other duties as assigned**Education and Experience:*** Bachelor's degree in actuarial science, mathematics, economics or a related field is required* Strong database (SAS or Access) experience is preferred* Managed Care or healthcare experience is preferred**Competencies, Knowledge and Skills:*** Intermediate interpersonal/verbal communication skills and a high level of professionalism* Intermediate written communication skills* Intermediate ability to work independently and within a team environment* Intermediate ability to work in fast paced environment with changing priorities* Intermediate ability to remain calm under pressure* Intermediate proficiency level with Microsoft Excel* Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook* Basic ability to effectively present information and respond to questions from peers and management* Basic ability to analyze and interpret financial data in order to coordinate the preparation of financial records* Basic knowledge of SQL, SAS, R, or other data manipulation software* Effective problem-solving skills with attention to detail* Effective listening and critical thinking skills**Licensure and Certification:*** A minimum of one exam passed under the Society of Actuaries Exam Syllabus is required; exam SRM via transition credit does not meet this requirement* Active pursuit of an actuarial designation (ASA) is required**Working Conditions:*** General office environment; may be required to sit or stand for extended periods of time**Compensation Range:**$61,500.00 - $98,400.00CareSource 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*** Fostering a Collaborative Workplace Culture* 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 environment of belonging that welcomes and supports individuals of all backgrounds.**#LI-RW1The **CareSource mission** is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers.We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day.The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource. #J-18808-Ljbffr