Economist Supervisor – SES / Actuarial Manager
State of Florida
full-time
Posted on:
Location Type: Office
Location: Tallahassee • Florida • 🇺🇸 United States
Visit company websiteSalary
💰 $2,033 - $5,671 per month
Job Level
Mid-LevelSenior
Tech Stack
SQL
About the role
- Provide management and consultative services to the Bureau Chief and lead and oversee the Medicaid Actuarial Services section.
- Coordinate activities including analyses and technical and analytical support regarding managed care rate setting process and methodologies.
- Serve as consultants regarding impact of state, federal or other policy changes.
- Coordinate work and supervise employees: communicate, motivate, train, evaluate, plan and direct employees’ work; hire, transfer, suspend, lay-off, recall, promote, discharge, assign, reward, and discipline subordinate employees or recommend such action.
- Maintain up-to-date knowledge concerning the Florida Medicaid program, Federal laws and regulations, state statutes and rules, the Florida Medicaid State Plan and its amendment processes, Medicaid Managed Care Waivers and Medicaid program manuals.
- Remain informed about the operations of the Medicaid fiscal agent, including Medicaid claims processing, billing procedures, reimbursement methodologies and provider enrollment.
- Remain informed about Medicare and other federal and state health care related programs, other state and national Medicaid-related research and demonstration projects, health care program innovations for special populations, and alternative financing and service delivery systems models.
- Maintain knowledge about the Medicaid State Plan, waivers, regulations, and processes.
- Maintain up-to-date knowledge of the Florida Medicaid Management Information Systems (FMMIS), basic computer processing, statistical analysis software, and information retrieval and management reporting capabilities.
- Lead, develop, coordinate, and/or execute strategic planning activities for the Medicaid Actuarial Services Section to implement goals, objectives and priorities of the Medicaid program.
- Oversee program planning activities to promote access to care, improve quality of care and increase efficiency and cost-effectiveness of Medicaid programs related to Medicaid programs.
- Perform independent analyses and work with Agency staff and contracted entities as a resource in the Medicaid managed care rate setting process; review managed care rates for compliance and recommend actions to the Bureau Chief.
- Utilize experience and expertise in rate analysis for managed medical assistance care and managed long term care; develop cost estimates for Medicaid programs; serve as actuarial consultant regarding impact of legislative changes and review proposed legislation.
- Report, analyze, and interpret statutorily required data and statistics related to Medicaid data, and Agency rules and regulations consistent with Agency interpretation.
- Represent the Agency in local, state or national meetings, conferences, workshops and seminars related to managed care rate setting for the Medicaid program.
- Other duties as assigned.
Requirements
- Three years of professional experience utilizing Excel.
- Four years of professional experience utilizing Access, SQL, SAS, or other Database programs.
- One year of actuarial experience in managed care is preferred.
- Candidates who have passed more than three actuarial exams will be given preference. Three (3) VEE credits may substitute for an exam.
- Preference will be given to candidates with a bachelor’s degree or a more advanced degree from an accredited college or university in a relevant discipline such as mathematics, actuarial science, or statistics.
Benefits
- Health insurance (i.e., individual and family coverage)
- Life insurance; $25,000 policy is free plus option to purchase additional life insurance
- Dental, vision and supplemental insurance
- State of Florida retirement options, including employer contributions
- Ability to earn up to 104 hours of paid annual leave as a new employee with the State of Florida
- Ability to earn up to 104 hours of sick leave annually
- Nine paid holidays and 1 personal holiday each year
- Opportunities for career advancement
- Tuition waivers (accepted by major Florida Colleges/universities)
- Student loan forgiveness opportunities (eligibility required)
- Training opportunities
- Flexible Spending Accounts
- Shared Savings Program for select medical services
- Lower copays for prescription drugs
- Health and Wellness discounts
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ExcelAccessSQLSASactuarial analysisstatistical analysisdata interpretationcost estimationrate analysismanaged care
Soft skills
managementconsultationcommunicationmotivationtrainingevaluationplanningsupervisionleadershipstrategic planning
Certifications
actuarial examsVEE credits