What are the responsibilities and job description for the Managing Actuary - Medicaid Pricing position at Oliver James?
This position will support the LTSS Medicaid Managed Care line of business. Experience with either LTSS rate setting or LTSS risk adjustment is required.
The Managing Actuary provides leadership and direction to ensure team goals and strategies are successfully achieved.
Essential Functions
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, as well as 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 (i.e., rate/bid filings, pricing, forecasting, reserving) within the company and with external vendors for assigned lines of business
- Specific function may require performing 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
- Specific function may require overseeing development and review of Incurred But Not Reported (IBNR) reserve estimates for all lines of business on a monthly basis
- Perform any other job related instructions as requested
