Director, Actuarial Science (Rate Advocacy, Month End Close, Forecasting)

Job Summary:

The Director, Actuarial Science is responsible for guiding the strategic direction, driving innovation and producing key insights for the organization that drive company performance.

Essential Functions:

Accountable for pricing, forecasting, month-end close activities and performance monitoring and explanations; includes development of key processes and assumptions, accruals and evaluation of financial experience and trend drivers including comparisons to budget and reforecast. Develop activities to improve efficiency and affordability

Execute the strategy and guide teams in the development of multiple internal statistical models to support key business goals / initiatives; bid pricing models, financial projections, contract modeling, ad hoc support projects

Proactively identify and influence at Senior Management levels Actuarial concepts / business drivers to support interactions with federal level and state level regulators

On request, lead new business projects for the business development team at the Senior Management level

Responsible for the integrity of all federal or state rate filing requirements as necessary

Identify and lead opportunities across multiple functions within the organization where the actuarial team can drive completion of corporate goals

Lead a team of actuaries ensuring compliance with applicable Actuarial Standards of Practice and supporting their training and personal development, or provide mentorship to other teams

Remain current, be able to explain and understand business impacts of all pertinent industry developments, including but not limited to, federal and state regulations and sub-regulatory guidance

Responsible for development of tactical plans and goals for functional area, accountable for problem solving and decisions that impact for the functional area

Understand and explain the financial drivers for owned product/market, including IBNR and other accruals

Leverage actuarial expertise to support the design, development, and implementation of AI-enabled solutions for the actuarial department; partner with internal stakeholders to transition AI use from exploration and learning to scalable, effective solutions that support pricing, forecasting, financial analysis, regulatory support, and other actuarial functions.

Remain current on emerging AI capabilities, evaluating applicability to actuarial work, and guiding responsible implementation to improve efficiency, insight generation, and business decision support

Perform any other job related duties as requested.

Education and Experience:

Bachelor's degree in actuarial science, mathematics, economics or a related field required

Eight (8) years of decision support, financial analysis, or actuarial experience preferred

Three (3) years of management experience preferred

Strong database (SAS or Access) experience preferred

Managed Care or healthcare experience preferred

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 interact with all levels of management as well as external stakeholders

Excellent problem-solving skills and attention to detail

Ability to effectively report data, analyze facts, and exercise sound business judgment when making recommendations

Ability to identify and analyze problems, draw conclusions, develop and lead processes and communicate status and results

Ability to lead audits of data and models

Demonstrate sound business judgment when drawing conclusions and making decisions

Expert proficiency with Microsoft Suite to include Excel, Word, and Power Point

Advanced knowledge of SQL, SAS, R, or other data manipulation software is preferred

Licensure and Certification:

Associate of the Society of Actuaries (ASA) required

Fellow of the Society of Actuaries (FSA) preferred

Working Conditions:

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

Up to 15% (Occasional) travel based on the needs of the department may be required

Compensation Range:

$135,600.00 - $237,400.00

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 (hourly/salary):

Salary

Organization Level 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.

Brand=CareSource

Originally posted on Himalayas