Job Description
Job Summary:
The Actuarial Analyst II is responsible for providing timely, accurate, and actionable data, analysis and recommendations 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
Leads regular and ad-hoc analysis identifying opportunities to improve efficiency and affordability
Leads 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
Minimum of one (1) year of decision support or financial analysis experience is preferred
Intermediate database (SAS or Access) experience is required
Managed Care or healthcare experience is preferred
Medicaid experience highly preferred
Rate advocacy experience 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
Intermediate ability to effectively present information and respond to questions from peers and management
Intermediate 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
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$70,800.00 - $113,200.00 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:
- Create an Inclusive Environment
- 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 inclusive environment that welcomes and supports individuals of all backgrounds.
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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.
