CareSource Medicaid, Marketplace va Medicare Advantage rejalari orqali aʼzolariga xizmat ko‘rsatuvchi tibbiy sug‘urta kompaniyasidir. Uning qamrov va qo‘llab-quvvatlash xizmatlari kam daromadli kattalar va oilalar, bolalar, homilador ayollar, keksalar hamda nogironligi bo‘lgan shaxslarni o‘z ichiga olgan guruhlar uchun mo‘ljallangan. CareSource shuningdek stomatologiya, ko‘rish, eshitish va dorixona xizmatlari, COVID-19 bo‘yicha yordam resurslari hamda aʼzolarga tibbiy xizmatlarini boshqarishda ko‘maklashadigan onlayn va mobil vositalarni taqdim etadi.
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.
Amerika Qo‘shma Shtatlari135 600 $ – 237 400 $ / yil
MasofaviyTo‘liq stavkaSeniorTalab Qilinadigan Til: inglizchaAktuariyTavsif
- 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
Talablar
- 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
Imtiyozlar
- 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