[Hiring] Actuarial Services Manager @CareOregon

Role Description

This position is responsible for managing the actuarial components of financial reporting and analysis cycles within the organization. This includes:

• Providing actuarial estimates of Incurred But Not Reported (IBNR) liabilities and other assets and liabilities
• Analyzing trends and identifying deviations from benchmarks and the resulting financial impacts
• Forecasting changes in health care cost and utilization patterns
• Estimating and calculating the return on investment of proposed and implemented initiatives
• Completing required regulatory reporting
• Communicating results and findings from actuarial analyses within CareOregon

Primary duties include technical and operational management, as well as relationship and people management. This position provides input into strategic plans for the broader organization.

Qualifications

• Minimum 5 years’ experience in actuarial services related to health care
• Work experience in health insurance
• Associate of the Society of Actuaries
• Minimum 2 years’ experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of CareOregon’s Aspiring Leaders Program (preferred)
• Fellow of the Society of Actuaries (preferred)
• Experience with Medicaid and Medicare (preferred)
• Experience estimating IBNR, risk adjustment transfers, and other health care liabilities and assets (preferred)
• Experience analyzing health care cost and utilization data (preferred)

Requirements

• Extensive knowledge of managed care and the Oregon Health Plan
• Knowledge of various methods of estimating IBNR and other reserves
• Ability to construct and use actuarial cost models for performing cost and utilization, trend, and benchmarking analysis
• Understanding of how to model direct and indirect financial impacts in a complex system
• Strong understanding of data systems and relational databases
• Proficient with SAS, SQL, and/or R
• Advanced Excel skills
• Excellent critical thinking and problem-solving skills
• Effective leadership skills and advanced understanding of managerial concepts and techniques
• Ability to develop and assess actuarial analyses and models pertaining to managed care
• Ability to communicate effectively, both verbally and in writing, including strong presentation skills
• Ability to develop and lead high performing team members
• Ability to develop and maintain Tableau dashboards
• Ability to work with eligibility data, claims data, risk scores, and other financial data
• Ability to work effectively with diverse individuals and groups
• Ability to identify, implement, and manage process improvements
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day

Benefits

• Competitive pay
• Bonus opportunity
• Comprehensive benefits package including medical, dental, vision, life, AD&D, and disability insurance
• Health savings account, flexible spending account(s), lifestyle spending account
• Employee assistance program and wellness program
• Discounts and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings)
• Strong retirement plan with employer contributions
• PTO and Paid State Sick Time based on hours worked/scheduled hours
• Paid holidays, volunteer time, jury duty, bereavement leave, and more