Managing Actuary, Medicaid Rate Advocacy

Title: Managing Actuary, Medicaid Rate Advocacy

This position will specifically support/lead our Medicaid Rate Advocacy team. Prior experience with this skillset will be a requirement.

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 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.

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 judgement 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.
• 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.