Mgr, Actuary (level II)','1705304','!*!About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled. The company serves approximately 4 million members and employs approximately 6,500 people nationwide as of Sept. 30, 2014. For more information about WellCare, please visit our website at www.wellcare.com or view our videos at https://www.youtube.com/user/WellCareHealthPlan.EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, sex, age forty (40) and over, disability, veteran status, or national origin.','!*!
Lead a team of analysts that provide timely, accurate, actionable data and analysis supporting the department, area, and corporate key initiatives. Participate as a key strategic member of the Finance Team and Senior Management. Provide pro-active analysis and recommendations to management on both a tactical and strategic nature.
Monthly calculation of the Corporation’s IBNR reserves.
Assist with development annual Medicare filings and state rate filings, including all managerial review and certification if necessary.
Develop actionable recommendations to management relative to all analysis.
Perform monthly analysis identifying opportunities to reduce cost and utilization.
Lead cross functional teams to address key issues facing the organization.
Evaluate Government reimbursement process to determine areas of risk and opportunity.
Participate in regional initiatives to improve operating results.
Initiate key analysis to improve overall MLR results.
Work closely with Chief Vice President of Actuarial Services, outside consultants and management to ensure that projects conform to Actuarial Standards of Practice.
Monitor trends and changes in the actuarial field and healthcare industry and communicate findings to management and associates.
Work toward and/or maintain necessary continuing education requirements as required by the Society of Actuaries.','!*!
Bachelor's degree from four-year college or university or a Graduate degree.
Certification as an Associate of the Society of Actuaries.
4 or more years of significant industry experience
Proven ability to carry a complex project from start to finish including appropriate coordination and utilization of a team and a presentation to senior management containing actionable information.
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Website : http://www.wellcare.com
WellCare Health Plans, Inc. focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. The company served approximately 3.8 million members nationwide as of Sept. 30, 2015. For more information about WellCare, please review our website and view the company’s videos. WellCare has developed a full complement of expertise in three major areas of government-sponsored health care…. Medicaid, Medicare Advantage and Medicare Prescription Drug Plans. Leveraging our expertise for our members' benefit is a key part of the value we bring to our members. WellCare focuses on those members who are dually eligible for both Medicaid and Medicare. This is an area of specialization that many other health plans simply do not have. We are committed to continually improving the quality of care and service that we provide to our members. We help our members access the right care at the right time in the appropriate setting. For some members, this includes the use of coordinated care teams and community partnerships. And we’re focused on government customers and use a disciplined approach to ensure a competitive cost structure.