Managing Actuary (Medicare)

Job Summary :

Medicare role is for an experienced developer of actuarial pricing and forecasting models, specifically for Medicare Advantage plans. The Managing Actuary - Medicare has intimate knowledge of CMS Medicare policy and applies that knowledge to advise the strategic direction of CareSource's DSNP business. The ideal candidate thrives when working in a fast-paced environment with less predictable work and where there is an opportunity to implement new approaches that will become integral to CareSource's financial management of its rapidly expanding Medicare DSNP line of business.

Essential Functions :

• Responsible for pricing and forecasting and other actuarial functions including development of key assumptions, as well as evaluation of financial experience and trend drivers
• Develop and communicate actionable and strategic recommendations to leadership in support of company goals
• Create and maintain new actuarial models to support key business goals and initiatives, such as actual to expected experience reporting, setting monthly accruals for risk adjustment, bid pricing / rate filings, forecasting, and contracting models
• Own the actuarial processes being managed (i.e., rate / bid filings, pricing, forecasting, risk adjustment) for the Medicare line of business
• Work directly with actuarial consultants within given timeframes to ensure they have all data and assumptions to support annual bid filing as well as several versions of internal pricing
• Be able to present work products in a way that is appropriate for leadership and focuses on key decisions needed to sustain product margins
• Attention to detail and experienced in rigorous testing of work product
• Ability to streamline and automate complex processes
• Perform any other job-related instructions as requested

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$92,300.00 - $161,600.00 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 :

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. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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