CareSource is a healthcare insurance company serving members through Medicaid, Marketplace, and Medicare Advantage plans. Its coverage and support services are designed for groups including low-income adults and families, children, pregnant women, older adults, and people with disabilities. CareSource also provides dental, vision, hearing, pharmacy, and COVID-19 support resources, with online and mobile tools that help members manage their healthcare.
Senior Director of Actuarial Science - CareSource Remote United States
Lead actuarial strategy, pricing, forecasting, and statistical modeling for CareSource healthcare plans. Direct actuarial teams and advise regulatory, financial, policy, and business stakeholders.
Description
- Set the actuarial science strategy, advance innovation, and deliver insights that support company performance
- Oversee pricing, forecasting, month-end close, performance monitoring, explanations, processes, assumptions, accruals, and financial experience analysis
- Develop initiatives that improve efficiency and affordability
- Lead actuaries and maintain compliance with applicable Actuarial Standards of Practice
- Support team training, professional development, and analyst mentoring
- Shape strategy and guide teams building statistical models for bid pricing, financial projections, contract modeling, and ad hoc work
- Hold internal stakeholders accountable for actuarial requests and key assumptions used across Finance and the organization
- Represent and influence actuarial concepts and business drivers with senior management in engagements with federal and state regulators
- Lead new-business initiatives for the business development team at the senior-management level when requested
- Maintain the integrity of federal and state rate-filing requirements
- Lead cross-functional initiatives where actuarial teams can advance corporate goals
- Track and explain industry developments, including federal and state regulations and sub-regulatory guidance
- Recommend and implement strategies that support functional objectives
- Explain financial drivers for owned products and markets, including IBNR and other accruals
- Engage trade associations, regulators, and external stakeholders on policy and legislative matters
- Provide actuarial guidance to business, government affairs, compliance, legal, and other teams on proposed policy, legislation, regulations, and guidance
- Support organizational feedback, comments, and responses incorporating financial, operational, and actuarial considerations
- Perform other job-related duties as requested
Requirements
- Bachelor’s degree in actuarial science, mathematics, economics, or a related field is required
- Ten years of decision support, financial analysis, or actuarial experience is preferred
- Five years of management experience is preferred
- Strong experience with databases such as SAS or Access is preferred
- Managed care or healthcare experience is preferred
- Associate of the Society of Actuaries (ASA) designation is required
- Fellow of the Society of Actuaries (FSA) designation is preferred
- Demonstrated excellence in written and verbal communication
- Strong listening, critical-thinking, interpersonal, and professional skills
- Ability to manage, develop, and motivate staff
- Ability to work with all levels of management and external stakeholders
- Excellent problem-solving skills and attention to detail
- Ability to report data effectively, analyze facts, and apply sound business judgment when making recommendations
- Ability to identify and analyze problems, draw conclusions, develop and lead processes, and communicate status and results
- Expertise with Microsoft Office, including Excel, Word, PowerPoint, and Outlook
- Advanced knowledge of SQL, SAS, R, or other data-manipulation software is preferred
- Ability and willingness to travel occasionally, up to 15%
- Ability to work in a general office setting and sit or stand for extended periods
- Strong database (SAS or Access) experience preferred
Benefits
- Performance-based bonus opportunities may be available based on company and individual results
- Comprehensive total rewards package
- Resources supporting employee total well-being
- Occasional travel of up to 15% according to department needs