CareSource
Actuarial Analyst I - (Medicare) - R10100
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CareSource
Fairfield, OH
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
Develop actionable recommendations to management relative to all analysis
Calculate profitability reports on appropriate business segments
Perform regular and ad‑hoc analysis to identify opportunities to improve efficiency and affordability
Perform regular and ad‑hoc analysis/studies to evaluate assumptions used in other processes
Participate in cross‑functional teams to address key issues facing the organization
Prepare monthly calculation of the company's IBNR reserves
Evaluate government reimbursement process to determine areas of risk and opportunity
Participate in initiatives to improve operating results
Initiate key analysis to improve overall MLR results
Perform 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 $62,700.00 - $100,400.00. 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 Salary
Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
Seniority Level Entry level
Employment Type Full-time
Job Function Finance and Sales
Industries Insurance
CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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at
CareSource
Fairfield, OH
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
Develop actionable recommendations to management relative to all analysis
Calculate profitability reports on appropriate business segments
Perform regular and ad‑hoc analysis to identify opportunities to improve efficiency and affordability
Perform regular and ad‑hoc analysis/studies to evaluate assumptions used in other processes
Participate in cross‑functional teams to address key issues facing the organization
Prepare monthly calculation of the company's IBNR reserves
Evaluate government reimbursement process to determine areas of risk and opportunity
Participate in initiatives to improve operating results
Initiate key analysis to improve overall MLR results
Perform 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 $62,700.00 - $100,400.00. 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 Salary
Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
Seniority Level Entry level
Employment Type Full-time
Job Function Finance and Sales
Industries Insurance
CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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