Talent.com
Managing Actuary - Medicaid
Managing Actuary - MedicaidCareSource • Dayton, Ohio, United States
Managing Actuary - Medicaid

Managing Actuary - Medicaid

CareSource • Dayton, Ohio, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Summary :

The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.

Essential Functions :

  • Responsible for pricing, forecasting, reserving or other actuarial processes 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
  • Manage the development and maintenance of actuarial models to support key business goals and initiatives, such as actual to expected experience reporting, actuarial reserves and accruals, bid pricing / rate filings, forecasting, and contracting models
  • Own the actuarial processes being managed (i.e., rate / bid filings, pricing, forecasting, reserving) within the company and with external vendors for assigned lines of business
  • Specific function may require performing baseline analysis on expectations of rate changes for future years and work with federal and state agencies to support rate filings and other relevant activities
  • Specific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all CareSource lines of business on a monthly basis
  • Perform any other job related instructions as requested

Education and Experience :

  • Bachelor's degree in actuarial science, mathematics, economics or a related field or equivalent years of relevant work experience is required
  • Two to three (2 to 3) years or more of management experience is preferred
  • Two to three (2 to 3) years or more of actuarial experience is preferred
  • Strong database (SQL, SAS or Access) experience is preferred
  • Managed care or healthcare experience is preferred
  • Preferred : Experience leading Medicaid rate advocacy in at least one state
  • Preferred : Understanding of accounting concepts such as accruals
  • 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 develop, prioritize and accomplish goals
  • Ability to interact with all levels of management as well as external stakeholders
  • Excellent problem-solving skills with attention to detail
  • Excellent auditing and peer reviewing skills
  • Ability to work independently and within a team
  • Ability to effectively analyze data, develop / maintain appropriate models, draw and report findings and / or conclusions tailored for respective audiences
  • Demonstrate sound business judgment when drawing conclusions and making recommendations
  • Communicate status and results of processes, projects, goals and tasks with leader as needed or requested
  • Expert proficiency level with Microsoft Excel
  • Advanced proficiency with Microsoft Suite to include Word and Power Point
  • Knowledge of SQL, SAS, R, Python or other data manipulation software
  • 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 :

    $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 :

  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business
  • 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.

    #LI-RW1

    [job_alerts.create_a_job]

    Actuary • Dayton, Ohio, United States

    [internal_linking.related_jobs]
    Travel Physical Therapist (PT) - $1,746 to $1,816 per week in Troy, OH

    Travel Physical Therapist (PT) - $1,746 to $1,816 per week in Troy, OH

    AlliedTravelNetwork • TROY, OH, US
    [job_card.full_time]
    AlliedTravelNetwork is working with AMN Healthcare Allied to find a qualified Physical Therapist (PT) in TROY, Ohio, 45373!. Job Description & Requirements.Physical Therapist - Outpatient - (PT)...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)

    Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)

    Mercor • Dayton, Ohio, US
    [filters.remote]
    [job_card.part_time]
    Role Overview • • We’re seeking experienced • •Utility Management Nurses • • to support a client’s healthcare product development by leveraging expertise in • •insurance coding and hospital revenue manag...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Telemetry - $2,363 per week

    Travel Nurse RN - Telemetry - $2,363 per week

    Amergis Healthcare Staffing, Inc. • Dayton, OH, United States
    [job_card.full_time]
    Amergis Healthcare Staffing, Inc.RN Telemetry for a travel nursing job in Dayton, Ohio.Job Description & Requirements.TRAVEL CANDIDATES ONLY - NO LOCALS ACCEPTED. TravelRN – Observation Unit (Miami ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Occupational Medicine

    Occupational Medicine

    KPG Provider Services • Dayton, Ohio, US
    [job_card.full_time] +1
    Occupational Medicine physician employment in Ohio : Inpatient Facility : Looking for an experienced Medical Director Occupational Medicine in the Dayton, Ohio area. Below you will find the Positio...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Telemetry - $2,000 to $2,052 per week in Dayton, OH

    Travel Nurse RN - Telemetry - $2,000 to $2,052 per week in Dayton, OH

    TravelNurseSource • Dayton, OH, US
    [job_card.full_time]
    TravelNurseSource is working with Sterling Medical Staffing Group to find a qualified Telemetry RN in Dayton, Ohio, 45409!. Travel Nurses are ACLS certified and have completed an EKG interruption ex...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    CRNA - Anesthesiology job available in Troy, Ohio

    CRNA - Anesthesiology job available in Troy, Ohio

    Archway Physician Recruitment • Troy, OH, US
    [job_card.full_time]
    Dayton, 75 miles to CincinnatiNetwork composed of 50 anesthesiologists and 74 CRNAs, is located in Southwest Ohio and has an opening for full-time, CRNA positions. Medical Center, a 182-bed communit...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Physical Therapist (PT) in Lebanon, OH

    Travel Physical Therapist (PT) in Lebanon, OH

    Cross Country Allied • Lebanon, OH, US
    [job_card.full_time]
    As a skilled nursing facility physical therapist, you'll provide PT services to help patients regain their health and mobility. Working at a skilled nursing facility, you'll assess patients' mobilit...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Occupational Therapist (OT) - $2,160 per week in Troy, OH

    Travel Occupational Therapist (OT) - $2,160 per week in Troy, OH

    AlliedTravelCareers • Troy, OH, US
    [job_card.full_time]
    AlliedTravelCareers is working with Marvel Medical Staffing to find a qualified Occupational Therapist (OT) in Troy, Ohio, 45373!. Specialty : Occupational Therapist.Marvel Medical Staffing is dedica...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Travel Nurse - RN - Behavioral Health - $1766 / Week

    Travel Nurse - RN - Behavioral Health - $1766 / Week

    Fusion Medical Staffing • Dayton, OH, US
    [job_card.full_time]
    Fusion Medical Staffing is seeking an experienced Behavioral Health Registered Nurse for an exciting Travel Nursing job in Dayton, OH. Shift : Inquire Start Date : 01 / 05 / 2026 Duration : 13 weeks Pay : $...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Physical Therapist (PT) - $1,967 per week in West Chester, OH

    Travel Physical Therapist (PT) - $1,967 per week in West Chester, OH

    Medical Solutions • West Chester, OH, US
    [job_card.full_time]
    A facility in West Chester, OH is seeking its next amazing PT (Physical Therapist).Read on if this sounds like your perfect fit!. Nurses and allied healthcare professionals are in high demand nation...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse - RN - Behavioral Health - $1747.8 / Week

    Travel Nurse - RN - Behavioral Health - $1747.8 / Week

    TRS Healthcare • Dayton, OH, US
    [job_card.full_time]
    TRS Healthcare is seeking an experienced Behavioral Health Registered Nurse for an exciting Travel Nursing job in Dayton, OH. Shift : 3x12 hr days Start Date : 01 / 05 / 2026 Duration : 13 weeks Pay : $1747...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Travel Physical Therapist (PT) - $1,675 per week in Lebanon, OH

    Travel Physical Therapist (PT) - $1,675 per week in Lebanon, OH

    Triage Staffing LLC • Lebanon, OH, US
    [job_card.full_time]
    Travel Rehab : Physical Therapy Lebanon.Shift Details : 8H Days (12 : 00 AM-12 : 00 PM).Length : 13 WEEKS 13 weeks.Apply for specific facility details.[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Physical Therapist (PT) - $1,746 to $1,816 per week in Troy, OH

    Travel Physical Therapist (PT) - $1,746 to $1,816 per week in Troy, OH

    AMN Healthcare Allied • TROY, OH, US
    [job_card.full_time]
    Job Description & Requirements.Physical Therapist - Outpatient - (PT) .StartDate : ASAP Pay Rate : $1746.The opportunity in Troy, OH, positions you in a city buzzing with activities, cultural e...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Behavioral Health - $2,061 per week

    Travel Nurse RN - Behavioral Health - $2,061 per week

    HealthTrust Workforce Solution External • Dayton, OH, United States
    [job_card.full_time]
    HealthTrust Workforce Solution External is seeking a travel nurse RN Behavioral Health for a travel nursing job in Dayton, Ohio. Job Description & Requirements.Provides planning and delivery of dire...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Associate Actuary

    Associate Actuary

    Munich RE • Lebanon, OH, United States
    [job_card.full_time]
    Amelia, United States; Akron, United States; Ann Arbor, United States; Athens, United States; Atlanta, United States; Augusta, United States. Bremen, United States; Carmel, United States; Cary, Uni...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Occupational Therapist (Certified Hand Therapist)

    Travel Occupational Therapist (Certified Hand Therapist)

    Uniti Med • Troy, OH, US
    [job_card.full_time]
    Uniti Med is seeking a travel Occupational Therapist for a travel job in Troy, Ohio.Job Description & Requirements.Cigna medical, MetLife dental and vision insurance .License reimbursement...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Family Medicine

    Family Medicine

    The Inline Group • Dayton, Ohio, US
    [job_card.full_time]
    Family Medicine physician employment in Ohio : The Inline Group -.Hours : Mon - Fri, 8am - 5pm and one evening / week.Average Patients seen : 18 / day. Compensation : - Competitive and negotiable compensa...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Earn up to $3,000 Participating in Medical Surveys! - Work-from-home convenience with lucrative earning potential (Hiring Immediately)

    Earn up to $3,000 Participating in Medical Surveys! - Work-from-home convenience with lucrative earning potential (Hiring Immediately)

    Maxion Research • Clayton, Ohio, US
    [filters.remote]
    [job_card.part_time]
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
    [last_updated.last_updated_30] • [promoted]