Actuarial Analyst II (ACA)

CareSource Management Services LLC • Dayton, OH • 1d ago

Job Summary: The Actuarial Analyst II is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionable recommendations to management relative to all analysis Calculates profitability reports on appropriate business segments Leads regular and ad-hoc analysis identifying opportunities to improve efficiency and affordability Leads regular and ad-hoc analysis/studies to evaluate assumptions used in other processes Participates in cross functional teams to address key issues facing the organization Prepares monthly calculation of the company's IBNR reserves Evaluates government reimbursement process to determine areas of risk and opportunity Participates in initiatives to improve operating results Initiates key analysis to improve overall MLR results Performs other duties as assigned Education and Experience: Bachelor's degree in actuarial science, mathematics, economics or a related field is required Minimum of one (1) year of decision support or financial analysis experience is preferred Intermediate database (SQL, SAS or Access) experience is required Managed Care or healthcare experience is preferred Affordable Care Act experience is preferred highly preferred Forecasting/Pricing experience highly preferred Competencies, Knowledge and Skills: Intermediate interpersonal/verbal communication skills and a high level of professionalism Intermediate written communication skills Intermediate ability to work independently and within a team environment Intermediate ability to work in fast paced environment with changing priorities Intermediate ability to remain calm under pressure Intermediate proficiency level with Microsoft Excel Intermediate proficiency with Microsoft Suite to include, Word, Power Point and Outlook Intermediate ability to effectively present information and respond to questions from peers and management Intermediate ability to analyze and interpret financial data in order to coordinate the preparation of financial records Intermediate knowledge of SQL, SAS, R, or other data manipulation software Effective problem-solving skills with attention to detail Effective listening and critical thinking skills Licensure and Certification: A combination of years of industry experience and exams passed under the Society of Actuaries Exam Syllabus (excluding exam SRM via transition credit) equaling 5 or more is required Active pursuit of an actuarial designation (ASA) is required Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $70,800.00 - $113,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies:

Create an Inclusive Environment

Cultivate Partnerships

Develop Self and Others

Drive Execution

Influence Others

Pursue Personal Excellence

Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

LI-RW1

CareSource is an equal opportunity employer and gives consid

Similar Jobs

Technical Sales Engineer

Trimble Inc • Dayton, OH • 3h ago

Sales & Marketing

Bilingual ProjectSight Sales Engineer Job Description The Sales Engineer (SE) is part of the sales team and specializes in providing technical demonstrations of software solutions before a sale is made. Trimble offers en...

3h ago

Go to Apply

Inside Sales Representative

Consolidated Electrical Distributors • Dayton, OH • 3h ago

Sales & Marketing

Summary Job title: Inside Sales Representative Job ID: 202517500004 Department: Dayton - CED Location: OH-Dayton Description Summary: The Inside Sales Representative position is responsible for maintaining current custom...

3h ago

Go to Apply

Actuarial Analyst II (Risk Adjustment)

CareSource Management Services LLC • Dayton, OH • 4h ago

4h ago

Go to Apply

Actuarial Analyst (Medicaid Risk Adjustment) - REMOTE

Molina Healthcare • Dayton, OH • 4h ago

JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extrac...

4h ago

Go to Apply

Accounts Payable Supervisor

Wilmer Cutler Pickering Hale and Dorr LLP • Miamisburg, OH • 4h ago

Finance, Accounting & Banking

Tracking Code 2196-437 Job Description WilmerHale is a leading, full-service international law firm with 1,000 lawyers located throughout 12 offices in the United States, Europe and Asia. Our lawyers work at the intersec...

4h ago

Go to Apply

Production Technical Trainer

American Battery Solutions • Springboro, OH • 8h ago

IT & Engineering

Job Summary The Production Technical Trainer is responsible for training and developing new and existing employees on manufacturing processes, ensuring competency, safety, and efficiency in American Battery Solutions (AB...

8h ago

Go to Apply

Entry Level Machinist (OMJ/MC)

Dayton Lamina (OMJ/MC) • Dayton, OH • 8h ago

Manufacturing & Warehouse

Dayton Lamina is a world leader in the production of catalog and special punches, die components, die details, and metal stamping tools. The new name actually stands on over 100 years of quality products and support to t...

8h ago

Go to Apply

Warehouse Associate

JF Petroleum Group • Dayton, OH • 8h ago

Manufacturing & Warehouse

Safely perform receiving, stock keeping, inventory cycle counting, picking, packing and shipment of parts that service fuel pumping applications. The warehouse runs first shift only, some overtime is to be expected of th...

8h ago

Go to Apply

Warehouse Utility

UTZ QUALITY FOODS, INC • Dayton, OH • 8h ago

Manufacturing & Warehouse

Utz Quality Foods is currently seeking a Warehouse Utility associate to join our sales operations team at the Dayton, OH Distribution Center. The Warehouse Utility associate oversees and organizes warehouse operations. K...

8h ago

Go to Apply

IT Help Desk Manager

Riverside Research Institute • Dayton, OH • 8h ago

Management & Administrative

IT Help Desk Manager Location US-OH-Beavercreek ID 2025-3907 Category Information Technology Position Type Full Time Salary Riverside Overview Riverside Research is an independent National Security Nonprofit dedicated to...

8h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.