VP, Chief Medicaid Actuary
Core
Drive company strategy and manage actuarial expertise for rate negotiations with State Medicaid Departments to ensure actuarial soundness and improve profitability.
Role type
VP, Chief Medicaid Actuary
Builds
Rate filings, bid development, and strategic financial reporting for CareSource's Medicaid lines of business
Domain
Healthcare / Medicaid Actuarial
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Actuarial modeling, rate negotiation strategy, regulatory compliance analysis, financial forecasting, data warehouse management, team leadership, strategic decision support
Preferred skills
Managed care experience, state/federal government program experience, experience with CMS or external regulatory entities
Technologies
Excel, Word, PowerPoint, data warehouse
Responsibilities
Lead actuarial aspects of rate filing and bid development, evaluate impact of long-range planning and new programs, oversee actuarial forecast process, research regulations and advise on risks, provide strategic insights to C-suite, align actuarial services with Finance, manage actuarial staff and projects
Seniority
VP, strategic leadership & management