Job Summary:
Director, Actuarial Science is responsible for managing one or more functions in the Actuarial Department. The Director is responsible for setting the strategic direction, driving innovation and producing key insights for the organization that drive company performance.
Essential Functions:
- Knowledgeable of future trends and upcoming regulatory changes related to Medicare Part D
- Ability to present and educate senior leaders on complex topics (Part D plan design and risks/opportunities)
- Forecasting, risk adjustment and accounting background related to Part D
- Accountable for the high quality output from the functional areas of responsibility, examples include IBNR, rate advocacy, forecasting/budgeting, accrual development, financial risk modeling and bid development
- Expected to understand and be able to explain how accruals or changes in IBNR impacts financial statements
- Lead a team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development
- Develop 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
- Ensure internal stakeholders are held accountable for actuarial function requests supporting key assumptions to be used throughout Finance and the broader organization
- 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
- Coordinate with key stakeholder partners within Finance to reduce duplication of work and foster sharing of knowledge and ideas
- Oversee effectiveness of mentorship programs for analysts
- Strategic planning focuses on one to two year range
- Responsible for development of tactical plans and goals for functional area, accountable for problem solving and decisions that impact for the functional area
- 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 ten (10) years of decision support, financial analysis, or actuarial experience is required
- Minimum of three (3) years of management experience is required
- Strong database (SAS or Access) experience is preferred
- Managed Care or healthcare experience is preferred
Competencies, Knowledge and Skills:
- Expert proficiency with Microsoft Suite to include Excel, Word, Power Point and Outlook
- 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
- Excellent written and verbal communication skills
- Ability to interact with all levels of management as well as external stakeholders
- Ability to lead audits of data and models
- Ability to work independently and within a team environment
- Strong interpersonal skills and high level of professionalism
- Strong problem-solving skills and attention to detail
- Strong listening and critical thinking skills
- Advanced knowledge of SQL, SAS, R, or other data manipulation software is preferred
Licensure and Certification:
- Active Associate of the Society of Actuaries (ASA) designation is required; Fellow of the Society of Actuaries (FSA) designation is preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$130,300.00 - $228,100.00
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. 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
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, including disability and veteran status. We are committed to a diverse and inclusive work environment.