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 Newtown Square, Pennsylvania, 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 www.amerihealthcaritas.com.

Responsibilities:

• Lead efforts to assure actuarial and financial soundness of Medicaid Premium rates for the assigned lines of business. Prepare financial proformas and communicate risk and opportunities to the business leaders.
• Manage analyses in support of benefit and provider reimbursement changes, cost containment programs, and revenue rate changes/adjustments from State Medicaid offices.
• Work with matrix partners and develop strategies to strengthen the financial performance of LOBs. Develop financial reporting, experience studies to underscore key points and emerging trend.    
• Lead the development of actuarial forecasts including management of pricing and forecasting assumptions, collaborate with provider network teams and support value optimization strategies.
• Responsible for management and execution of all actuarial functions in support of assigned lines of business and assure that all work is done based on sound actuarial principles and on timely basis.
• Responsible for managing all staff in support of the assigned lines of businesses, including organizing, hiring, developing, and assuring quality work product.

Education/Experience: 

• Bachelor’s Degree required - Actuarial Science, Statistics, Mathematics, or other business field
• Must be credentialed actuary and member of Academy of Actuaries with FSA or ASA
• 10+ years progressively responsible actuarial experience in managed healthcare with 3-5 years people management experience at a senior level.
• Strong communication, people management, and critical thinking skills
• Ability to influence others

Diversity, Equity, and Inclusion

At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k), Tuition reimbursement and more.

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