Senior Director, Actuarial Science
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Job Description
Senior Director guiding actuarial strategy, pricing, financial modeling, and regulatory insight for CareSource health plans. Leading actuaries and cross-functional initiatives supporting affordability, compliance, and company performance.
Responsibilities:
- Set the strategic direction for actuarial science, drive innovation, and produce insights that improve company performance
- Oversee pricing, forecasting, month-end close activities, performance monitoring, assumptions, accruals, and financial experience analysis
- Develop activities that improve efficiency and affordability
- Lead actuaries and ensure compliance with Actuarial Standards of Practice
- Develop strategy and guide teams building statistical models for bid pricing, financial projections, contract modeling, and ad hoc projects
- Hold internal stakeholders accountable for actuarial-function requests and key assumptions used across Finance and the organization
- Identify and influence actuarial concepts and business drivers at Senior Management level for regulatory interactions
- Lead new-business projects for the business development team when requested
- Ensure integrity of federal and state rate filing requirements
- Lead cross-functional opportunities where actuarial work supports corporate goals
- Oversee analyst mentorship programs
- Monitor and explain industry developments, regulations, and sub-regulatory guidance
- Recommend and operationalize strategies affecting functional objectives
- Explain financial drivers for owned products and markets, including IBNR and other accruals
- Engage trade associations, regulators, and external stakeholders on policy and legislative matters
- Provide actuarial expertise to business, government affairs, compliance, legal, and other teams
- Support organizational feedback, comments, and responses on proposed policy, legislation, and regulations
- Perform other related duties as requested
Requirements:
- Bachelor's degree in actuarial science, mathematics, economics, or a related field required
- Associate of the Society of Actuaries (ASA) required
- Ten years of decision support, financial analysis, or actuarial experience preferred
- Five years of management experience preferred
- Strong database experience with SAS or Access preferred
- Managed Care or healthcare experience preferred
- Excellent written and verbal communication skills
- Excellent listening and critical thinking skills
- Strong interpersonal skills and professionalism
- Ability to manage, develop, and motivate staff
- Ability to interact with all levels of management and external stakeholders
- Excellent problem-solving skills and attention to detail
- Ability to report data, analyze facts, and exercise sound business judgment
- Ability to identify and analyze problems, draw conclusions, develop and lead processes, and communicate status and results
- Expert proficiency with Microsoft Suite, including Excel, Word, PowerPoint, and Outlook
- Advanced knowledge of SQL, SAS, R, or other data manipulation software preferred
- Fellow of the Society of Actuaries (FSA) preferred
- Ability to work in a general office environment and sit or stand for extended periods
- Up to 15% occasional travel may be required
Benefits:
- Bonus tied to company and individual performance may be available
- Comprehensive total rewards package
- Employee well-being support
- Training and personal development
- Mentorship programs
- Up to 15% occasional travel based on department needs
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