Manager, Actuary – Medicaid

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Provide leadership and guidance to ensure the successful achievement of team objectives and strategies.

• Conduct pricing, forecasting, reserving, and various actuarial processes, which include formulating key assumptions and assessing financial experiences and trend influences.

• Create and convey actionable and strategic recommendations to leadership in alignment with company objectives.

• Oversee the development and upkeep of actuarial models for actual-to-expected experience reporting, actuarial reserves and accruals, bid pricing/rate submissions, forecasting, and contracting models.

• Manage actuarial processes such as rate/bid submissions, pricing, forecasting, and reserving within the organization and with external vendors for designated lines of business.

• Execute baseline analysis on projected future rate adjustments and collaborate with federal and state agencies to support rate submissions and associated activities, as necessary.

• Supervise the creation and evaluation of IBNR reserve estimates for CareSource lines of business on a monthly basis, as applicable.

• Carry out other job-related tasks as requested.

• Update the leader on the status and results of processes, projects, goals, and tasks as needed or requested.

⛳️ Requirements

• A bachelor's degree in actuarial science, mathematics, economics, or a related discipline, or equivalent years of relevant work experience is required.

• An Associate of the Society of Actuaries (ASA) designation is required.

• A minimum of two to three (2 to 3) years of management experience is preferred.

• A minimum of two to three (2 to 3) years of actuarial experience is preferred.

• Strong experience with databases (SQL, SAS, or Access) is preferred.

• Experience in managed care or healthcare is preferred.

• Medicaid experience is preferred.

• Exceptional written and verbal communication skills.

• Strong listening and critical thinking abilities.

• Excellent interpersonal skills and a high level of professionalism.

• Capability to manage, develop, and inspire staff.

• Ability to set priorities and achieve goals effectively.

• Competence to engage with all levels of management as well as external stakeholders.

• Outstanding problem-solving skills with a keen attention to detail.

• Excellent auditing and peer review capabilities.

• Ability to work autonomously and as part of a team.

• Skill in effectively analyzing data, developing and maintaining appropriate models, and presenting findings and/or conclusions tailored for respective audiences.

• Exhibit sound business judgment when formulating conclusions and recommendations.

• Communicate the status and results of processes, projects, goals, and tasks with the leader as needed or requested.

• Expert proficiency in Microsoft Excel.

• Advanced proficiency in the Microsoft Suite, including Word and PowerPoint.

• Knowledge of SQL, SAS, R, Python, or other data manipulation software.

• May require travel of less than 10% of the time.

🏝️ Benefits

• A bonus linked to company and individual performance may be available.

• A substantial and comprehensive total rewards package.

• Support for employee total well-being.