Coventry Health Care – Manager, Actuarial Service – Baltimore, MD / Washington, DC area
Coventry Health Care is a national managed health care company based in Bethesda, Maryland operating health plans, insurance companies, network rental service companies, and worker’s compensation service companies. Coventry provides a full range of risk and fee-based managed care products and services, including HMO, POS, PPO, Medicare Advantage, Medicaid, Worker’s Compensation and Network Rental to a broad cross section of individuals and employer and government-funded groups, government agencies, and other insurance carriers in all 50 states as well as Washington, DC and Puerto Rico.
Coventry is currently seeking a Manager, Actuarial Services based in our Bethesda, MD location. In this role, you will manage activities within the Medicaid Actuarial team.
Coventry Health Care is a national managed health care company based in Bethesda, Maryland operating health plans, insurance companies, network rental service companies, and worker’s compensation service companies. Coventry provides a full range of risk and fee-based managed care products and services, including HMO, POS, PPO, Medicare Advantage, Medicaid, Worker’s Compensation and Network Rental to a broad cross section of individuals and employer and government-funded groups, government agencies, and other insurance carriers in all 50 states as well as Washington, DC and Puerto Rico.
Coventry is currently seeking a Manager, Actuarial Services based in our Bethesda, MD location. In this role, you will manage activities within the Medicaid Actuarial team.
The ESSENTIAL RESPONSIBILITIES for the Manager Position include:
• Communicates with Senior Managers across Coventry and the local markets
• Identify key issues with State Departments of Health and Human Services for consideration in the ratesetting process.
• Perform analysis of expansion opportunities for health plans.
• Manages the quantitative assessment of risk relating to provider contracts, risk-sharing arrangements, and IBNR in accordance with regulatory and professional guidelines.
• Analyzes, summarizes, and reconciles statistical data. Designs specific studies and research projects as requested.
• Explains methodology to appropriate parties.
• Applies knowledge of mathematics, probability, statistics, principles of finance and business to risk and trend analyses.
• Identifies and analyzes the internal and external factors which affect statistics for use in trending, reserving, contracting, etc.
• Advises, counsels and makes recommendations on issues and policies affecting the company’s actuarial and financial practices.
• Ensures the accuracy of work assigned through the development and use of reconciliation techniques.
The ideal candidate will possess:
• Bachelor’s degree or equivalent experience.
• Substantial experience (usually 6+ years) in managed care finance or analyses with at least 2 years of experience supervising professional employees and/or complex projects.
• Associate, Society of Actuaries (ASA) designation required.
• Knowledgeable of all federal and state laws and regulations professional standards and current managed care practices.
• Strong team building skills and ability to manage and develop a group of professionals with diverse skills.
This position requires strong written and verbal communication skills, strong project management skills, computer literacy, and the ability to work in a very fast paced environment.
CHC offers an excellent compensation and benefits package including medical, dental, vision, and 401K. If interested in applying for this position, visit our on-line Career Center at: http://www.coventryhealthcare.com/careers/search-careers/index.htm and search for job 1212544.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: First/Mid Level Officials and Managers
Primary Location: Bethesda, MD, US
Organization: 10000 - Coventry Health Care - Corp
Schedule: Full-time
Job Posting: 2012-12-10 00:00:00.0
Job ID: 1212544