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Managing Actuary; Medicaid Rate Advocacy

Job in Dayton, Montgomery County, Ohio, 45444, USA
Listing for: CareSource
Full Time position
Listed on 2026-05-31
Job specializations:
  • Finance & Banking
    Risk Manager/Analyst, Actuary
  • Insurance
    Risk Manager/Analyst, Actuary
Salary/Wage Range or Industry Benchmark: 94100 USD Yearly USD 94100.00 YEAR
Job Description & How to Apply Below
Position: Managing Actuary (Medicaid Rate Advocacy)

Job Summary

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, and 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 (rate/bid filings, pricing, forecasting, reserving) within the company and with external vendors for assigned lines of business.
  • Perform 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.
  • Oversee development and review of Incurred But Not Reported (IBNR) reserve estimates for all Care Source 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 related field, or equivalent years of relevant work experience.
  • Medicaid Rate Advocacy experience is highly preferred.
  • Two to three (2–4) years or more of management experience is preferred.
  • Two to three (2–4) 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, and draw and report findings tailored for respective audiences.
  • Demonstrate sound business judgment when drawing conclusions and making recommendations.
  • Communicate status and results of processes, projects, goals and tasks with leaders as needed or requested.
  • Expert proficiency level with Microsoft Excel; advanced proficiency with Microsoft Suite (Word, PowerPoint).
  • 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.
Working Conditions

General office environment; may be required to sit or stand for extended periods of time. May be required to travel less than 10% of the time.

Compensation

Salary: $94,100.00 - $. In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Equal Opportunity Employer

Care Source is an Equal Opportunity Employer.

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