Department: Finance Reports to: Sr.Director, ActuaryLocation: Henderson Rd (Tampa, FL)Position is responsible for providing timely, accurate, and actionable data and analysis supporting the department, area, and corporate key initiatives.Essential Functions:Prepare monthly calculation of the Corporation\u2019s IBNR reserves.Submit annual Medicare ACR calculation, including all supporting analysis.Develop actionable recommendations to management relative to all analysis.Calculate profitability reports on appropriate business segments.Perform monthly analysis identifying opportunities to reduce cost and utilization.Participate in 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.Education\/Experience:Bachelor's degree from four-year college or university or a Graduate degree or significant industry experience A minimum of one exam passed under the Society of Actuaries Exam Syllabus.
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.