Job Summary:
The Actuarial Analyst III is responsible for providing timely, accurate, and actionable strategy, data, analysis, and recommendations supporting the department, area, and corporate key initiatives.
Essential Functions:
- Develops actionable and strategic recommendations to management relative to all analysis
- Calculates profitability reports on appropriate business segments
- Independently leads regular and ad-hoc analysis identifying opportunities to improve efficiency and affordability
- Independently leads regular and ad-hoc analysis/studies to evaluate assumptions used in other processes
- Independently leads key actuarial processes, like new assumption development, forecasting, pricing, etc. and recommends actionable next steps to management
- Provide guidance and mentorship to analysts
- 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
- Minimum of two (2) years of decision support, financial analysis, or actuarial experience is preferred
- Strong database (SAS or Access) experience is required
- Managed Care or healthcare experience is preferred
Competencies, Knowledge and Skills:
- Advanced interpersonal/verbal communication skills and a high level of professionalism
- Advanced written communication skills
- Advanced 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
- Advanced proficiency level with Microsoft Excel
- Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook
- Intermediate ability to effectively present information and respond to questions from peers and management
- Advanced ability to analyze and interpret financial data in order to coordinate the preparation of financial records
- Intermediate 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 combination of years of industry experience and exams passed under the Society of Actuaries Exam Syllabus (excluding exam SRM via transition credit) equaling 5 or more is required
- Active pursuit of an actuarial designation (ASA) is required
- Associate of the Society of Actuaries (ASA) designation preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$79,800.00 - $127,600.00
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. 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
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Create an Inclusive Environment
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Cultivate Partnerships
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Develop Self and Others
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Drive Execution
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Influence Others
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Pursue Personal Excellence
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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 inclusive environment that welcomes and supports individuals of all backgrounds.
What We Do
Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits.
CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve.
CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf
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