Talent.com
Actuarial Analyst I - (Medicare)
Actuarial Analyst I - (Medicare)CareSource • Dayton, OH, United States
Actuarial Analyst I - (Medicare)

Actuarial Analyst I - (Medicare)

CareSource • Dayton, OH, United States
[job_card.1_day_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Summary :

The Actuarial Analyst I (Medicare) is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives.

Essential Functions :

  • Develops actionable recommendations to management relative to all analysis
  • Calculates profitability reports on appropriate business segments
  • Performs regular and ad-hoc analysis to identify opportunities to improve efficiency and affordability
  • Performs regular and ad-hoc analysis / studies to evaluate assumptions used in other processes
  • Participates in cross functional teams to address key issues facing the organization
  • Prepares monthly calculation of the company's IBNR reserves
  • Evaluates government reimbursement process to determine areas of risk and opportunity
  • Participates in initiatives to improve operating results
  • Initiates key analysis to improve overall MLR results
  • Performs other duties as assigned

Education and Experience :

  • Bachelor's degree in actuarial science, mathematics, economics or a related field is required
  • Strong database (SAS or Access) experience is preferred
  • Managed Care or healthcare experience is preferred
  • Competencies, Knowledge and Skills :

  • Intermediate interpersonal / verbal communication skills and a high level of professionalism
  • Intermediate written communication skills
  • Intermediate ability to work independently and within a team environment
  • Intermediate ability to work in fast paced environment with changing priorities
  • Intermediate ability to remain calm under pressure
  • Intermediate proficiency level with Microsoft Excel
  • Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook
  • Basic ability to effectively present information and respond to questions from peers and management
  • Basic ability to analyze and interpret financial data in order to coordinate the preparation of financial records
  • Basic knowledge of SQL, SAS, R, or other data manipulation software
  • Effective problem-solving skills with attention to detail
  • Effective listening and critical thinking skills
  • Licensure and Certification :

  • A minimum of one exam passed under the Society of Actuaries Exam Syllabus is required; exam SRM via transition credit does not meet this requirement
  • Active pursuit of an actuarial designation (ASA) is required
  • Working Conditions :

  • General office environment; may be required to sit or stand for extended periods of time
  • Compensation Range :

    $61,500.00 - $98,400.00 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]

    Actuarial Analyst • Dayton, OH, United States

    [internal_linking.related_jobs]
    Medical Director

    Medical Director

    National Veterinary Associates • Dayton, OH, US
    [job_card.full_time]
    We are seeking an energetic doctor to elevate their career into a Managing Veterinarian (DVM / VMD) role or bring their MDVM experience and lead our 3-doctor, full service, small animal practice in K...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel CT Technologist

    Travel CT Technologist

    Pluto Healthcare • Clayton, OH, US
    [job_card.full_time]
    Pluto Healthcare is seeking a travel CT Technologist for a travel job in Salem, Ohio.Job Description & Requirements.[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Dermatologist - Milford, OH

    Dermatologist - Milford, OH

    HealthEcareers - Client • Milford, OH, USA
    [job_card.full_time]
    Optima Dermatology is seeking a.Board Certified / Board Eligible General Dermatologist.This is an exceptional opportunity to practice alongside some of the region’s leading dermatologists in a pati...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Data Analyst

    Senior Data Analyst

    Narwal • Mason, Ohio, United States
    [job_card.full_time]
    Utilizes a hypothesis-driven problem-solving approach to design, construct, and rapidly test / iterate exploratory data-mining analyses to reveal insight across the portfolio.Interprets and communica...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Data Annotation • Middletown, Ohio
    [filters.remote]
    [job_card.full_time] +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Pediatrics - General / Other - $180,000 to $250,000 per year in Englewood, OH

    Physician (MD / DO) - Pediatrics - General / Other - $180,000 to $250,000 per year in Englewood, OH

    LocumJobsOnline • Englewood, OH, US
    [job_card.full_time] +1
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Englewood, Ohio, 45322!.Whether you are searching for a position in your area or in another state, we have profession...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Physical Therapist (PT) - $1,990 per week in Piqua, OH

    Travel Physical Therapist (PT) - $1,990 per week in Piqua, OH

    Core Medical Group • Piqua, OH, US
    [job_card.full_time]
    Client in OH seeking Physical Therapist : Outpatient / Clinic.We are looking for a healthcare professional who is ready to provide exceptional patient care in this contract / travel role.Contract / travel...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Business Analyst I

    Business Analyst I

    TEKsystems • Middletown, OH, United States
    [job_card.full_time]
    Reviews analyzes and evaluates business systems and user needs.Formulates systems to parallel overall business strategies. May require an associate's degree in a related area and 0-2 years of experi...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physical Therapist - PRN - Kings Mills Hospital

    Physical Therapist - PRN - Kings Mills Hospital

    Mercy Health • Mason, Ohio, United States
    [job_card.full_time]
    BSMMHPUSR259926EXTERNALENUS Everyone who works with Mercy Health is united under one purpose : to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Travel Nurse RN - Cardiac Catheterization Lab - $3,100 to $3,163 per week in Dayton, OH

    Travel Nurse RN - Cardiac Catheterization Lab - $3,100 to $3,163 per week in Dayton, OH

    TravelNurseSource • Dayton, OH, US
    [job_card.full_time] +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified Cath Lab RN in Dayton, Ohio, 45409!.ARRT R, BLS, CCI RCIS, State licensed. Established in 2000, LanceSoft is a Certified MBE and W...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Cardiology

    Cardiology

    SourceMD • Dayton, Ohio, US
    [job_card.full_time]
    Cardiology physician employment in Ohio : We are seeking board certified / board eligible general cardiologist to join our program. This position is inpatient and outpatient.Candidates should be comfo...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel MRI Tech - $2,620 to $2,928 per week in Dayton, OH

    Travel MRI Tech - $2,620 to $2,928 per week in Dayton, OH

    AlliedTravelCareers • Dayton, OH, US
    [job_card.full_time]
    AlliedTravelCareers is working with Prime Time Healthcare to find a qualified MRI Tech in Dayton, Ohio, 45401!.Now Hiring : Allied Healthcare MRI - Dayton, OH. Contact us for Pay Information.Actual a...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Cath Lab Tech - $2889.33 / Week

    Travel Cath Lab Tech - $2889.33 / Week

    Host Healthcare • Dayton, OH, US
    [job_card.full_time]
    Host Healthcare is seeking an experienced Cath Lab Tech for an exciting Travel Allied job in Dayton, OH.Shift : Inquire Start Date : 12 / 10 / 2025 Duration : 13 weeks Pay : $2889.At Host Healthcare, we ar...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Infectious Disease

    Infectious Disease

    Curare Group, Inc. • DAYTON, Ohio, US
    [job_card.full_time]
    Infectious Disease physician employment in Ohio : Top health system in southwest Ohio is growing and needing to add an Infectious Disease specialist to their busy practice.This comprehensive system...[show_more]
    [last_updated.last_updated_30] • [promoted]
    AR and Collections Supervisor

    AR and Collections Supervisor

    CFS • Trotwood, OH, US
    [job_card.full_time]
    Accounts Receivable and Collections Supervisor.Salary Range : $50,000- $64,000.Our client is a leading organization and they are looking to add an Accounts Receivable and Collections Supervisor to j...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Field Collection Specialist

    Field Collection Specialist

    RDSolutions formerly RetailData • West Chester, OH, US
    [job_card.part_time]
    The retail industry continues to see unprecedented dynamics as it pivots to a true omni-channel shopping experience.Informed retailers are succeeding, and RDSolutions is providing them with the con...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    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]
    Actuarial Analyst II (Medicare)

    Actuarial Analyst II (Medicare)

    CareSource • Dayton, OH, United States
    [job_card.full_time]
    The Actuarial Analyst II (Medicare) is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives.D...[show_more]
    [last_updated.last_updated_30] • [promoted]