Director Actuarial Services

Your career starts now. We''re looking for the next generation of health care leaders.At AmeriHealth Caritas, we''re 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''d like to hear from you.Headquartered in Philadelphia, 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 Responsibilities:Manages preparation of actuarial financial reporting - including internal GAAP, DOI statutory, State Medicaid requirements, and CMS Medicare requirements. Provides actuarial certifications and opinions where required. Manages analyses in support of benefit and provider reimbursement changes, cost containment programs, and revenue rate changes/adjustments from State Medicaid offices. Manages the rate negotiation process to determine rate requirements and support rate requests and strategies. Manages reporting and analyses identifying trends and profitability drivers for lines of business. Manages all other actuarial processes and analyses in support of assigned lines of business. Responsible for management and execution of all actuarial functions in support of assigned lines of business, and assures that all work is done based on sound actuarial principles Responsible for managing all staff in support of the assigned lines of businesses, including organization, hiring, development and assuring quality work product.Education/Experience:Bachelor''s Degree actuarial science, statistics, or mathematics or other business field.Must be credentialed actuary and member of Academy of Actuaries with FSA.15 years progressively responsible actuarial experience in managed healthcare with 3-5 years management experience at a senior level. BackShareApply Now

Created: 2021-11-29