Director, Actuarial Science-Risk Adjustment
Caresource
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 - $232,700.00CareSource 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):
SalaryOrganization Level Competencies
Create an Inclusive Environment
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business