Role OverviewThe
Manager Actuarial Services manages preparation of actuarial financial reporting for assigned Medicaid lines of business - including internal GAAP, DOI statutory, State Medicaid requirements, and Audit Support requirements.
Work Arrangement- This is a 100% Remote Position
Responsibilities- Manages the review of reserve and revenue calculations for assigned Medicaid lines of business
- Oversees the fulfillment of state reporting requests involving reserves, revenue, or medical loss ratio
- Communicates monthly IBNR calculations and underlying drivers to actuarial department and company leadership through the monthly close process
- Prepares actuarial certifications, opinions, and actuarial memorandums where required
- Works closely with various business partners, including but not limited to Actuarial Pricing & Planning Experts (APEX), Finance, Accounting, and Market Operations
- Responsible for managing all staff in support of the assigned lines of businesses, including organization, hiring, development and assuring quality work product
- Adheres to actuarial standards of practice and the code of professional conduct
Education and Experience- Bachelor's Degree actuarial science, statistics, or mathematics or other business field
- Preferred but not required: Member of Academy of Actuaries with FSA or ASA
- Minimum of five to seven (5 - 7) years progressively responsible actuarial experience in managed healthcare or related field, with significant project and/or people management experience
- Medicaid actuarial experience is highly preferred
- Excellent written and verbal communication as well as strong data presentation skills
- Excellent project management skills and ability to work/collaborate with internal and external partners
- Strong technical skills including MS Excel, SQL, Python, and healthcare data mining experience
Our Comprehensive Benefits PackageCompetitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k), Tuition reimbursement, and more.
Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
